Dr. Kannane Tirougnanassambandare
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am 55 years old male, height 5 feet 5 inches, and weight 163 lbs. I do not drink or smoke. Presently, I am not under any medications. Previously, I took medicines for suspected acid reflux symptoms for six months but stopped since one year. I used to undergo comprehensive blood tests on a yearly basis. The query is about results of lab reports taken from two different labs. I am worried about the values of SGOT (AST) and SGPT (ALT). Does it indicate the damage to the liver? (The level of AGST and SGPT were normal up to last year). You are requested to advise me regarding the future course of action on this query.
Hi,
Welcome to icliniq.com.
I note that your query is related to abnormal LFTs (blood liver function tests) SGOT (AST- aspartate transaminase) and SGPT (ALT- alanine transaminase). From the information you provided (attachment removed to protect patient identity), I understand that:
There are many possible causes of transaminitis (raised ALT/AST) and identification of the underlying cause in you requires a detailed medical history and a series of blood tests.
The Probable causes
Investigations to be done
Differential diagnosis
Treatment plan
Regarding follow up
Patient's Query
Hello doctor,
Thanks for your response.
The results of the tests undergone are attached for your valuable advice.
Thank you.
Hello,
Welcome back to icliniq.com.
Your Ultrasound scan suggests you have fatty liver. The medical term is a non-alcoholic fatty liver disease (NAFLD) or non-alcoholic steatohepatitis (NASH). The blood tests show that you do not have diabetes and do not have hepatitis B or C infection.
I suggest you do a fibroscan, repeat the blood tests for liver function, including aspartate transaminase and alanine transaminase, and blood tests to estimate your complete lipid profile, including cholesterol and triglycerides.
Lifestyle modifications can be done. For example, go for a brisk walk for 45 minutes (even a minimal weight loss of two to three kilograms will help). Avoid consuming alcohol. Check your cholesterol levels and take medications if it is high. Since your body mass index (BMI) is high, I recommend a low-fat diet.
Fatty liver is reversible, but any fibrosis damage that has already occurred is not. Fibrosacn will help assess the level of fibrosis present.
Thank you.
Investigations to be done
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
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Medical Gastroenterology
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