High SGPT

My 10 year old son complained about stomach pain and I noticed a little yellow in his eye. My doctor advised  to get SGPT test done. Test indicated SGPT count of 4200. Hepatitis B twest result was negative ( RAPCHACARD method). I am very worried about such high SGPT count. I need advise.

[jmjm530]

Could be any number of things. Best to get a referral to a liver specialist (hepatologist). Good luck and please report back and let us know how it turns out.

-- Jim

[sallyo]

The doctor that ordered the test should be sent the results by the lab that ran them.  Has he/she not responded or advised?  An enzyme of that level should surely catch his/her attention.

[mikesimon]

I'm not clear whether your son has been seen by the doctor or if the doctor just ordered the blood work without first seeing him. If he hasn't been seen I would get him seen immediately. If you're right about his SGPT being 4200 I have to say that is the highest SGPT I have heard about and I think you're smart to be concerned. Mike

[mremeet]

Why just have him tested for hep B? Have him checked for hep A and hep C too.

[esleighton]

Yes, emergency mode is correct.

More commonly known now as ALT, not SGPT any more. I have lived watching mine go up and down for 25 years.

Didn't take a Tylenol (acetaminophine) overdose?
When my brother took an overdose, his was up at 9000, and docs didn't know if he would recover.

As stated above, this is serious, and indicative certainly with the jaundice, of liver damage happening.

Eric

[amommy]

I second the Emergency Room vote.  Get your son checked out ASAP.  He needs to see a doctor!

[mikesimon]

I think that if he's jaundiced and really has an SGPT of 4200 and abdominal pain he should be seen right away at the ER, if not by his doctor today. Speculation about what tests etc. should be done is academic right now and I wouldn't wait around if I were you - I'd get him seen! Mike

[Cela]

Hi,
I read your post.  It is certainly cause for concern.  It seems I was reading on NLM gateway where a small child drank a bottle of some essential oil used in aroma therapy and the boy's SGPT was very high.  If I remember the doctors lowered it using N-Acetyl Cysteine.  Hope this helps.  I will look for the abstract and post it to you.
Cela

[Cela]

Hi,
Here is the abstract.  It was a 3 month-old girl who drank clove oil.  She was treated with intravenous N-acetylcysteine which is the protocol for acetaminophen poisoning.  I hope your son is in the hospital getting some sort of treatment.
Cela
NLM gateway search N-acetylcysteine for treatment of clove-oil induced fulminant hepatic failure.