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High reading of SGPT (ALT), serum by Enzymatic Method
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High reading of SGPT (ALT), serum by Enzymatic Method

I am male, 38 yrs old, Teetotaller. I have a history of kidney stones which are usually small enough to pass through the urine. I had a LFT done 6 months earlier and elevated results were reported. I had a Sonography done and the report indicated fat pressing against my liver. The MD I visited explained that this was a result of being obese and put me on medication of URSOCOL 300 mg for 2 tablets for 30 days. I completed the course.


Today (6 months since I had done my first test) I have re-done a LFT and following are the readings:

Liver Function Test (Mini) :

Bilirubin-Total, serum by Diazo method      0.59                         0.10 - 1.20 mg/dl
                                                                                              Neonates : Upto 15.0 mg/dl

Bilirubin-Conjugated, serum by Diazo method 0.13                    Upto 0.3 mg/dl

Bilirubin-Unconjugated, serum by calculation 0.46                      0.1 to 1.0 mg/dl

SGPT (ALT), serum by Enzymatic Method 167                          5 - 40 IU/Lt                  <-------------

Alkaline Phosphatase,serum by pNPP-kinetic 131                     Male : 20 - 130 IU/Lt     <-------------

Protein (total), serum by Biuret method 7.87                              6.6 to 8.7 gm/dl

Albumin, serum by Bromocresol green method 3.80                   3.5 to 5.0 gm/dl

Globulin, serum by calculation 4.07                                          2.3 - 3.5 gm/dl         <-------------


Are the above readings cause for worry. What is the possible diagnosis. Do I need to see a specialist? TIA.
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Avatar_m_tn
I also have elevated liver enzymes, Its really really scary to think about, and if your a hypocondriac like me then its even scarier, I have RUQ pain and have had it for about 2 years, Ultrasound shows fatty infiltration as does CT..I was never put on any medication for this, But the medication your on can very well Raise your liver enzymes temporarily. I would give it some time relax and try not to freak out, although your ALT is rather high meaning probably from medicaiton because if it were heptocellular carcinoma,(liver cancer) or cirrohis the ALT is usuallt only mildly elevated, hope this helps relax and keep us posted.
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