Q. My 10 months old daughter has puffy eyes and elevated SGOT. Do we need to be worried?

Answered by
Dr. Preeti Puranik
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 13, 2017 and last reviewed on: Nov 25, 2021

Hi doctor,

My 10 months old daughter has puffy eyes after she wakes up from sleep in the morning. Her blood results show AST (SGOT) as 71 IU/L. Puffiness will vanish during the day after few hours. Do we need to worry about this? Her AST (SGOT) is 71 IU/L, ALT (SGPT) is 28 IU/L, globulin is 1.8 g/dL, and anion gap is 22. Please help.



Welcome to

  • Early morning puffy eyes commonly indicate some problem relating to the urinary system. It can even be a urinary infection. Get a urine analysis done.
  • She also requires renal function tests (blood test). It is better you take her to a local pediatrician for a physical checkup, as her blood pressure also needs to be checked. Any swelling of feet, hands, etc., has to be examined.

For more information consult a paediatrician online -->

Hi doctor,

Thanks for the response. I have attached her blood test along with the urine results. The symptoms are puffy eyes and feet in the morning and decreased appetite.



Welcome back to

I have seen the reports (attachment removed to protect patient identity).

  • There is no urinary infection, and the renal parameters are also normal. The liver-related parameters are normal. I think you need to show the baby to a pediatrician, as the swelling has to be confirmed and also checked for how severe it is.
  • Further investigations may be required, which can be decided only after examining the baby. Also, BP, heart sounds, and abdomen of the baby need to be examined. Only IgE levels are high, which indicates allergic tendency. Even this can cause swelling, but it has to be confirmed after checking the baby.

For more information consult a paediatrician online -->

Thank you doctor,

Do you think AST (SGOT) of 71 IU/L and an anion gap of 22 is normal for 10 months old baby? Do these blood test values vary depending on the countries? Please suggest.



Welcome back to

  • Yes, the values range is slightly different. SGOT of 71 is just slightly high, which can happen in a viral infection. As other liver-related enzymes are normal, this is not a matter to worry.
  • But the anion gap of 22 is slightly high and may need some more evaluation. It indicates a slight increase in the amount of acid in the blood. Hence, the baby needs a review and further evaluation.
  • The baby needs an ultrasound scan of the abdomen and pelvis, and some more tests, which can be decided only after examining the baby. Please review with your pediatrician for the same.

For more information consult a paediatrician online -->

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