What could be done to bring down a high SGPT level?

Question

Hi doctor,

My daughter is eight years old. She has been suffering from jaundice for the past four months.

Presently, as per her blood test, bilirubin is 0.40 mg/dL, conjugated bilirubin is 0.10 mg/dL, unconjugated bilirubin is 0.30 mg/dL, and ALT (SGPT) is 57.00 U/L. The medicines she had been prescribed are a Junior Lanzol 15 mg capsule 30 minutes before lunch and dinner, a Ursokem 150 mg tablet 30 minutes before lunch and dinner, and Cynobac tablets 30 minutes before lunch and dinner.

She has boiled vegetables, rice, fish, and egg whites. In spite of taking these medicines, her ALT (SGPT) is not coming back to normal.

Please suggest a way to bring her ALT (SGPT) levels to normal.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

To add to your knowledge, SGPT (serum glutamic pyruvic transaminase) is a marker of inflammation of the liver. Whenever there is some damage to the liver, the SGPT will rise along with serum bilirubin levels. During the healing of the liver, the SGPT levels slightly rise, followed by a fall in bilirubin levels and, consequently, a fall in SGPT levels.

Your daughter's SGPT levels are borderline high. Hence, you do not have to worry. The treatment and diet going on are perfect. There is no change required. The SGPT shall come to normal in a month or so.

Always, if the clinical condition of the patient is good and improving, then not much emphasis is given to the reports. Eventually, we treat the patient and not the reports.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.