I'm 29years male,married no children yet,heavy weight 220lbs,non smoker,non alcoholic,play sport basket ball+golf,I have noticed about 18months ago,my pathology blood test show an increase of SGPT,SGOT and GGT enzyme level and the local doctor diagnosed a fatty liver and treated with HB-pro and Urdafalk and Lipitor/Provacol if my cholesterol is high. I went to consult many doctors and none of them know the diagnose nor give me a right treatment which make me frustrated. The level of SGOT is 50% higher than normal value and the SGPT up to 100% and the GGT is 10~20%. Please advice what caused it and what test should I take to determine the exact diagnose? Can we know by an x-ray or USG what caused it or the only way is to do the liver biopsy? Is it recommended to do the liver biopsy or any medication or vitamin should I consume before I decide to have a biopsy? How dangerous is the risk of liver biopsy? Please advice which doctor or clinic should I consult in Seattle or Los Angeles or other state in US. Just for the additional information, my parent and sister have a normal SGPT, SGOT and GGT level. Thank you and Regards JOE
X-rays and ultrasound can only suggest disease. If the liver enzymes remain elevated, then the liver biopsy would be the most definitive test. Typically, a liver biopsy is recommended if the enzymes are 2-3 times the upper limit of normal. If you are drinking alcohol, I would abstain and repeat the test within 1-2 months.
Risks of a liver biopsy include infection and bleeding - this should be discussed with your gastroenterologist before proceeding. Any gastroenterologist would be able to consider this procedure. You can contact the American Gastroenterological Association (http://www.gastro.org/) for a GI doctor near you.
I would discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.