HomeAnswersInternal Medicineblood testKindly suggest after going through my elevated test levels.

Kindly give a review regarding the elevated test results.

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Kindly give a review regarding the elevated test results.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At December 30, 2016
Reviewed AtFebruary 6, 2024

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?

Hi,

Welcome to icliniq.com. I've carefully reviewed the attached report (identity protected), indicating the presence of hepatitis. In order to establish an accurate diagnosis and recommend appropriate treatment, it's essential to gather additional information. Firstly, did you experience any recent episodes of fever? Additionally, could you please clarify the reason for conducting these blood tests? Is there a history of alcohol consumption? Are you currently dealing with any other health issues or taking medications? Lastly, have you experienced any episodes of loose motions? Providing these details will greatly assist in guiding your treatment plan effectively.

Patient's Query

Thank you doctor,

I had done a random blood test. I do not have any fever. I used to consume alcohol about six years back. Now, I have stopped drinking. I had taken a hepatitis vaccination last month. I had got a blood test done last month also and that time my bilirubin was 1.8.

Hi,

Welcome back to icliniq.com. Analyzing the liver function test report, it's crucial to focus on liver enzymes such as SGOT and SGPT, as they require attention more than bilirubin. These enzymes should be within normal range, and if elevated, the cause needs to be identified and treated. Prior to vaccination, it's essential to check hepatitis status. Since alcohol consumption has been stopped for six years, it's unlikely to be the cause. Consider getting 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 isn't 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.

Patient's Query

Thank you doctor,

Thank you for your response. I am uploading my previous month 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.

Hi,

Welcome back to icliniq.com. I've reviewed all your reports, and it's 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's crucial to systematically rule out the potential causes of hepatitis. I suggest taking Ursocol 300 mg tablet once at bedtime for 15 days, followed by the aforementioned tests. Based on the results, I'll be able to advise you on the next steps. Please refrain from alcohol, non-vegetarian foods, and engage in regular daily exercise.

Patient's Query

Thank you doctor,

I am attaching some more files like the USG of liver and other reports. Is the issue very serious? I am getting married after two months. I am tensed 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 for jogging every morning. My fiance had typhoid 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 level? Should I start taking tablet Ursocol 300 mg from today?

Hi,

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 doesn't pinpoint anything specific. It's essential to clarify that this isn't related to kissing, so there's no need for fear. We'll 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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Naresh Kumar M.
Dr. Naresh Kumar M.

Internal Medicine

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