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Query on Liver function
Dear Dr. Kaur,

Gone through annual health check up yesterday.

LFT showed following abnormality - SGPT 91, SGOT 38, GGT 54, with Bilirubin count 3.5. The abdominal ultrasonography report is showing mild fatty change in lever. Rest all other reports are normal.

I have been detected with Gilbert Syndrome 25 years back. I am 39 now. Height 177 cm, Weight 85 Kg. Have hypertension for last 10 years, taking 2 medicines every day - Repace H, and Prolomate AM 50. Also taking Fabutaz 40 for last 1 year for Uric acid which was 8 last year (now it is 3.2).

I do exercise 3-4 days in a week, 4-5 Km running. I smoke 6-7 cigarettes a day and drink 2-3 pegs whisky 3-4 days a week.

Please suggest what do I need to do.

Now, I have been referred to a gastroenterologist who has advised me to do following tests - Indirect Bilirubin, HB electrophoresis, Anti HCV rapid test, HBSAG rapid test, EGD, and Fibro Scanning.  Are all these tests necessary?

Regards,
BC
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Avatar_universal
Hello,
It may not be possible to confirm whether all the tests advised are necessary or not without complete clinical examination and evaluation. Fatty liver can cause mild elevation in liver enzymes and should be confirmed ultrasonographically.In Gilberts syndrome a person will have total serum bilirubin levels from 17-100 μmol/L and other liver function tests and liver biopsy are normal. Your doctor might have advised hepatitis profile to rule out hepatitis of any type.Hb electrophoresis to rule out any hemolytic disorder. If you think that he has ordered for tests which may not be important or are not satisfied with his opinion it is suggested to seek second opinion. I hope it helps.
Best luck and regards!
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