Patient's Query
Hello doctor,
I am a 34-year-old male. I have found elevated test results in my recent blood report (liver function test).
Could you give a review regarding this?
Thank you.
Hello,
Welcome to icliniq.com.
I understand your concern, and I have carefully reviewed the attached report (attachment removed to protect the identity of the patient), indicating the presence of hepatitis. In order to establish an accurate diagnosis and recommend appropriate treatment, it is essential to gather additional information.
Firstly, please answer a few of my questions:
Providing these details will greatly assist in guiding your treatment plan effectively.
I hope this helps.
Thank you.
Patient's Query
Thank you, doctor, for the reply.
I had done a random blood test. I do not have a fever. I used to consume alcohol about six years ago. Now, I have stopped drinking. I had taken a hepatitis vaccination last month. I had a blood test done last month also, and that time my bilirubin was 1.8.
Please advise.
Hello,
Welcome back to icliniq.com.
Analyzing the liver function test report, it is crucial to focus on liver enzymes such as SGOT and SGPT, as they require more attention than bilirubin. These enzymes should be within normal range, and if elevated, the cause needs to be identified and treated. Prior to vaccination, it is essential to check hepatitis status.
Since alcohol consumption has been stopped for six years, it is unlikely to be the cause. Consider getting your hepatitis B and hepatitis C status checked. I recommend Ursocol 300 mg tablet (Ursodeoxycholic acid) once at bedtime for 10 days, followed by another liver function test. Consult a specialized doctor, discuss, and take the medicine with consent.
Elevated bilirubin with normal liver enzymes can occur in conditions like Gilbert syndrome, which is not serious and lacks specific treatment. If possible, upload the previous month's liver function test report and inquire about any positive family history of liver problems.
I hope this helps you.
Thank you.
Patient's Query
Thank you, doctor, for the reply.
Thank you for your response. I am uploading my previous month's blood report. I had checked for hepatitis about three months back, and the report was negative. Regarding the family history, both my parents have high cholesterol. My mother also has BP, and my father is a diabetic.
Please advise.
Hello,
Welcome back to icliniq.com.
I have reviewed all your reports (attachments removed to protect the patient's identity), and it is evident that you have elevated liver enzymes, indicating ongoing liver inflammation. I recommend conducting hepatitis C and serum iron tests, along with total iron binding capacity (TIBC) and ferritin levels after a two-week interval, while also repeating the liver function tests. It is crucial to systematically rule out the potential causes of hepatitis.
I suggest taking the Ursocol 300 mg tablet once at bedtime for 15 days, followed by the aforementioned tests. Based on the results, I will be able to advise you on the next steps. Please refrain from alcohol and non-vegetarian foods, and engage in regular daily exercise.
I hope this helps you.
Thank you.
Patient's Query
Thank you, doctor, for the reply.
I am attaching some more files, like the USG of the liver and other reports. Is the issue very serious? I am getting married in two months. I am tense and scared. I have stopped eating chicken and mutton. I am consuming a lot of fish and green leafy vegetables. I am also having sugarcane juice regularly.
I go jogging every morning. My fiance had typhoid a long time back. We do normal kissing. Does it have anything to do with it? When should I perform hepatitis C, serum iron, TIBC, and ferritin levels? Should I start taking the tablet Ursocol 300 mg from today?
Please advise.
Hello,
Welcome back to icliniq.com.
While this issue might not be classified as serious, the elevated liver enzymes clearly signal an underlying activity. The abdominal ultrasound, revealing mild hepatomegaly, does not pinpoint anything specific. It is essential to clarify that this is not related to kissing, so there is no need for fear.
We will need to conduct a comprehensive series of tests systematically to eliminate potential causes until we achieve a conclusive report. Please proceed with the prescribed medications and undergo the blood test after 15 days. This thorough approach is crucial for identifying the root cause of the issue.
I hope this helps you.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Why is my SGPT level interpreted as high in the blood test?
How to reduce SGPT levels to normal in just 10 days with grade 2 fatty liver?
Hepatitis Vaccines - Antiviral Treatment
Can you help interpret my dad's liver function test results?
Can you please see my liver function test results and tell me how serious this is?
Hepatitis and Liver Cancer: The Link
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.