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Elevated liver enzymes
I have high billurubin since last 8years
But now recently on 25dec 2024 found liver enzymes high.
Sgot 55
Sgpt-75
Total billurubin 2.1
Indirect billurubin 1.5
Direct billurubin .6
Ultrasound report normal
No fatty liver shows in ultrasound
Fibroscan report normal
Medicine EVION 400and eurosocol sr450
Again tested 25 jan 2025 all enzymes are in normal
Sgot 33
Sgpt34
But billurubin as usual high
is this any problem
I am occasional drink
My weight also loose 5kg by physical activity or due to disease don't know.
Should I woory or changed lifestyles can cure.
Is this related to NASH
Is NASH complete reversible
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Hi!
I see your LFTs are normal except the elevated bilirubin
and you're concerned if its NASH
well as your USG and Fibroscan are normal we can rule out NASH at the moment
Although there are few question that i want to ask
1. Does anyone from your side of the family have the same problem?
2. How often do you consume alcohol?
3. Were you sick during dec 2024 when you had slight elevation in your LFT?
4. Do you have any other symptoms (like fatigue, myalgia, etc)
Next Steps
I'd recommend few test that you should get done
1. CBC with PBS
2. Iron profile
3.ESR
How ever I’d like you book a consult with me or any gastroenterologist to further narrow down your concerns and arrive at a diagnosis
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lifestyle changes including physical exercises to lose weight ,and healthy diet habits, avoiding alcohol play a important role in liver health. stage 1 fatty liver is reversible
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You are 37 yr old and your indirect bilirubin is high and you say you drink alcohol on certain occasions. See man your liver is telling you through your lft is that's it, stop feeding me alcohol, enough is enough. Friend these are early signs to remove alcohol from your lifestyle if not be ready for some big repercussions. And if you want to consult you can connect to me.
Next Steps
Zero Alcohol
avoid fatty and spicy food
30 min of brisk walk everyday
USG whole abdomen
introduce 1 cup black coffee without sugar and milk at breakfast
A to Z gold 1 tab OD for 15 days.
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Were your Viral Markers done?
What about your Lipid profile and other tests?
Stop alcohol and avoid oily, fatty foods
Increase water intake,fiber and exercise.
You may consider consultation with a Gastroenterologist who will guide you
Answered
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