GASTROENTEROLOGY / DIGESTIVE DISORDERS EXPERT FORUM
Can High SGOT and SGPT levels return to "normal"....?

Can High SGOT and SGPT levels return to "normal"....?


  On a life insurance test, I encountered high SGOT (52) and SGPT (99) numbers.  On re-test, several months later, the SGOT went down to 41 and SGPT to 81.  Just prior to each blood test on a Monday or Tuesday, I had coincidentally had very rich meals and several glasses or wine and cognac after dinner the prior weekend. From reading this forum and other sources, I have no other symptoms of any kind. I will, of course, retest after totally abstaining from any alcohol.  Just to assuage some fears prior to my scheduled MD visit, however, my question(s) are:
  (1) Could a three day earlier spike in alcohol consumption generate higher numbers alone?
  (2) Assuming the numbers are indicative of alcohol-related liver damage (I otherwise consume 1-3 servings of alcohol 4-5 days per week), and assuming for this question that there is in fact liver damage, can the liver damage naturally "heal" and if so, what can I do to help it.
  (3) Assuming the liver "heals" through a combination of care which includes total abstinence from any alcohol, is ther some point in time that I might resume drinking even one glass of wine with a meal?
  (4) In light of the news coverage that alcohol -- in some moderation appears "good" for some parts of the body, what type(s) of alcohol are acceptable and what amounts are considered "moderation" so as not to cause liver damage which might be manifested  in higher AST numbers?
_______
Dear JBK,
Your liver test elevations are mild.  Values in this range may be due to alcohol-related liver disease or fatty liver although there are other causes that would need to be considered if alcohol avoidance does not result in normalization of the tests.
1)  A three day spike in alcohol consumption could cause the reported liver test abnormalities, although it is possible that your 'regular' alcohol use is the cause.
2) It is impossible to predict the extent of liver damage scarring ( irreversible changes) from the liver tests.  Complete abstienece from alcohol is required.  It is quite conceivable that the liver can heal itself of the acute inflammation and if you continue to avoid alcohol you will not have further damage.
3)Alcohol is a posion to the liver.  After healing occurs, you should be able to take occasional small amounts of wine but you must remember that there is the risk of small amounts of damage with each drink.  Fortunately we have a tremendous reserve of liver function and most people can have small amoumts of damage withoutr suffering any consequences.
This information is presented for educational purposes only.  Ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: alcohol, liver tests
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Hi my sgpt. Is 155 and sgot 110 befor having my test I had a foot sprain and it inflamed I took flanax  to ease the pain of my sprain then I suffered stomach pain then 9 days after - had my sgpt check together with other test then the result I'd 155 sgpt and 110 sgot would my stomach pain the cause of my abnormal sgpt? Cheryl
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my sgot was 57  an i redid it a month ago  an i was staying away from alchol  an when i did it it was 44 an i wasstaying away from some herbs that i was taking plus i was eating only fruits one day  2nd day steam veggies  an the other days  like steam fish and veggies but it was mixed like a diet for two months an then it went to 60  what can i do to lower it
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A related discussion, sgot was started.
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