Possible considerations include: Viral infections other than Hepatitis B/C (EBV, CMV, etc.) Allergic/drug-related eosinophilic reaction Parasitic infection Autoimmune/inflammatory conditions Eosinophilic gastrointestinal disorders Fatty liver can occasionally occur even in non-obese individuals Nutritional deficiencies or chronic gut inflammation As symptoms include weight loss, appetite loss, rash, joint pains, abdominal symptoms, and persistent eosinophil fluctuation, further workup is advisable.

Your reports show a mild liver enzyme elevation with persistent eosinophilia . It can be likely due to parasitic infection. It needs a attention cause this is not simple liver issue.

Kindly book a consultation so we can take a full case history.

Hello. I have read your complain thoroughly . Do not panic. We are here to help you. To prescribe and plan a treatment, detail history is needed. Kindly connect for same.

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Your reports show elevated SGPT with eosinophilia, which often points towards an allergic, parasitic, or drug-related cause rather than primary liver disease—especially since hepatitis tests and ultrasound are normal. The fluctuation in eosinophils and symptoms like rash, abdominal discomfort, and weight loss need deeper evaluation. You should consider tests like stool examination for parasites, IgE levels, autoimmune markers, and review any medicines/supplements you’ve taken in the past few months. Please consult a physician or gastroenterologist for a systematic workup rather than guessing the diagnosis.

Hello, your reports show elevated liver enzymes with fluctuating eosinophil levels along with multiple symptoms like appetite loss, rash, and body pains. This combination can be seen in conditions like allergic reactions, parasitic infections, drug-related liver inflammation, or some immune-related issues. Since basic tests are normal, it needs a more detailed and stepwise evaluation. As your symptoms are persisting for months, I would strongly recommend a proper online consultation so I can review your reports in detail and guide you with the next targeted investigations and treatment. Early proper diagnosis will help you recover faster and avoid unnecessary stress.

Do ESR ,CRP, RA factor and ANA by IF, sr. IgE level.

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What you’re describing is not a simple isolated issue, but the pattern does give some useful clinical direction. What your reports indicate SGPT (158 → 88 → 63) and SGOT (50 → 43): suggests liver inflammation that is gradually improving Bilirubin 1.6: mild elevation; can be seen in liver stress or conditions like Gilbert syndrome Eosinophils 12% → fluctuating (4–7%): this is significant and usually points toward allergic, parasitic, or immune-related causes Most likely possibilities Parasitic infection (common and often missed) Can cause eosinophilia, abdominal discomfort, appetite loss, bowel sounds, and even mild liver enzyme elevation Skin manifestations like rash on feet can also occur Allergic or hypersensitivity reaction Food, environmental, or drug-related Can explain eosinophilia, rash, and sometimes chest tightness or discomfort Eosinophilic gastrointestinal condition Such as Eosinophilic gastroenteritis Can cause abdominal symptoms, weight loss, appetite loss, and fluctuating eosinophils Systemic eosinophilic disorder (needs exclusion) Example: Hypereosinophilic syndrome Considered when symptoms are prolonged and involve multiple systems Post-viral inflammatory phase Liver enzymes improving supports this, but persistent eosinophilia and symptoms suggest something ongoing Important concerns in your case Symptoms persisting for 5 months Weight loss and appetite loss Fluctuating eosinophil levels Multi-system involvement (liver, gastrointestinal tract, skin, earlier joint pains) This means the root cause has not yet been identified, even though basic investigations are normal. What should be done next You need more targeted evaluation rather than repeating routine tests: Stool examination for ova and parasites (preferably 2–3 samples) Absolute eosinophil count (AEC) Serum IgE levels Peripheral smear review Repeat liver function test for trend Gastroenterology consultation if symptoms persist (may consider endoscopy if indicated) Can this be treated Yes, but treatment depends on the exact diagnosis: Parasitic causes require specific anti-parasitic therapy Allergic or eosinophilic conditions need immune-modulating treatment Liver enzymes in your case are already improving, which is a positive sign Avoid starting medications without identifying the cause, as that may delay proper diagnosis. Practical advice Avoid outside and processed foods temporarily Maintain a simple, clean diet Monitor weight weekly Do not ignore the rash; it is a useful diagnostic clue Regards Dr jyoti Kadkol Health Global Homoeopathy, Vijaynagar, Whitefield.Bangalore www.healrthglobalclinics.com

It seems that you are undergoing a lot of physical health issues. It needs to be addressed asap otherwise it may get complicated and can affect your personal and social life. It can be well treated with homeopathic medicine effectively and without any side effects. It needs to be treated in a holistic approach for complete recovery. You need an expert Homeopathic physician.

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What about ESR, CRP ?

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This complex presentation—specifically the combination of elevated liver enzymes (transaminitis) and persistent eosinophilia (high eosinophil count)—is a significant clinical clue. While many standard tests (Hepatitis, USG, X-ray) have come back clear, the persistent symptoms and the specific nature of the lab results suggest a few avenues that may require specialized investigation. The following possibilities are often considered when liver involvement and high eosinophils occur together: 1. Parasitic Infections (Helminthic) In many regions, parasitic infections are a leading cause of the "liver + eosinophilia" signature. Certain parasites migrate through the liver or reside in the bile ducts, causing inflammation and spikes in SGPT/SGOT. Liver Flukes (e.g., Fascioliasis): These can cause abdominal pain, fever, weight loss, and liver enzyme elevations. Strongyloidiasis or Ascariasis: These parasites can cause "Loeffler’s syndrome" (chest pressure/cough) during their lung migration phase and abdominal symptoms later. Suggestion: Discuss a "Stool for Ova and Parasites" test (often required 3 times on different days for accuracy) or specific serology (blood tests) for parasites with a specialist. 2. Eosinophilic Gastrointestinal Disorders (EGID) Since your USG and basic blood work are clear, the issue might be at the microscopic level within the tissue. Eosinophilic Gastritis/Enteritis: This occurs when eosinophils infiltrate the lining of the stomach or intestines. It can cause the "sounds in the abdomen," loss of appetite, weight loss, and recurrent abdominal pain you described. Suggestion: A gastroenterologist might suggest an endoscopy or colonoscopy with biopsies to look for eosinophil infiltration, even if the tissue looks "normal" to the naked eye. 3. Drug-Induced Liver Injury (DILI) with Hypersensitivity Even if you do not smoke or drink, certain over-the-counter supplements, herbal remedies, or common medications (like NSAIDs for joint pain) can cause a hypersensitivity reaction in the liver. This often presents with a rash and high eosinophils. 4. Systemic Conditions (Vasculitis or Autoimmune) The "blanching rash" on the feet combined with joint pain and chest pressure could point toward systemic inflammation. EGPA (formerly Churg-Strauss): A rare condition characterized by eosinophil-rich inflammation of blood vessels. It often involves the lungs (chest pain) and skin (rashes). Suggestion: Consult an Immunologist or Rheumatologist to check for markers of vasculitis or systemic autoimmune issues.

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Need proper report And detailed history. Consult online

Need reports and symptoms Only then can be able to diagnosis

Aapke liver enzymes pehle thode high the (SGPT 158, SGOT 50, bilirubin 1.6), lekin ab SGPT 43 tak aa gaya hai. Ye actually achha sign hai, iska matlab liver injury progressive nahi thi aur recovery ho rahi hai. Hepatitis B/C, USG abdomen, thyroid, sugar, kidney, ECG sab normal hain—isse major liver disease ya structural problem ka chance bahut kam ho jata hai. Ab jo main clue hai wo hai eosinophils ka 12% tak jana aur phir 4–7% ke beech fluctuate karna. Ye usually in cheezon me hota hai: Hidden parasitic / intestinal infection (stool test normal hone ke baad bhi ho sakta hai) Allergy / hypersensitivity (food, environment ya unknown trigger) Chronic low-grade inflammation Kabhi-kabhi gut related eosinophilic disorder ya functional gut issues Aapke symptoms ka pattern bhi important hai: Abdominal discomfort, bloating, appetite loss Chest discomfort / pressure Body pain (joints, heel, back, scapula, throat) Symptoms ka 5 months se fluctuate karna Tests ka mostly normal aana Ye combination often suggest karta hai ki problem ek single organ me nahi, balki gut–immune system interaction ya functional inflammatory state me ho sakta hai. Isme stress-gut axis, food sensitivity ya post-infectious gut irritation bhi role play kar sakta hai. Is stage pe focus hona chahiye “aur tests repeat karne” se zyada targeted evaluation par, jaise: Stool test (multiple samples) for parasites Serum IgE (allergy marker) Vitamin B12, iron, ferritin ESR/CRP (inflammation markers) Agar symptoms persist karein to gastroenterology evaluation for functional dyspepsia / eosinophilic GI condition Overall picture se lagta hai ki koi dangerous disease ka strong evidence nahi hai, but body me ek persistent trigger ya hypersensitivity/inflammation state chal rahi hai, jisko systematically identify karna hoga. Agar chaho to main aapke case ko aur deeply pattern-wise analyze karke exact most likely diagnosis direction aur step-by-step management plan bhi bata sakta hoon. Aap chahein to detailed consultation ke liye connect kar sakte hain, jisse hum symptoms + reports ko ek saath correlate karke clear direction nikal sakein.

Your condition needs deeper evaluation. The combination of elevated liver enzymes, eosinophilia, skin rash, and systemic symptoms (weight loss, joint pains) suggests that this is not just a simple liver issue, but a systemic disturbance in the body. Possible underlying causes- Based on your symptoms, it may be due to: Hidden parasitic infection (commonly missed in routine tests) Allergic or hypersensitivity reaction Less commonly, an autoimmune or inflammatory condition. Important symptom to note The persistent non-blanching rash under the feet is significant and should not be ignored, as it may indicate deeper pathology. Recommended investigations (if not fully done) CBC with Absolute Eosinophil Count Stool examination (3 consecutive samples) Serum IgE levels ESR, CRP Repeat Liver Function Test Homeopathy does not treat reports alone, but the individual as a whole. Your physical symptoms along with general health, past history, and mental/emotional state will help in selecting the most suitable remedy. Avoid self-medication Please do not take over-the-counter or random homeopathic medicines, as improper remedy selection may delay recovery.

Hai, Your symptomatology suits dyspepsia and raised eosinophills are due to allergic rhinitis. Raised SGOT/SGPT/bilirubin is a precausor of fatty liver ( may be hereditary ). These symptoms are signals from our body. Better to take Homoeopathic tratment and adopt proper diet/ exercise plan than going behind diagnosis.

Hi Practo user it could be due to parasitic infestation too Will need more details of the case You can easily take an online consultation for personalised treatment Or click on the calling option over my profile on Practo

Based on the details you’ve shared, this appears to be a chronic, systemic issue rather than a single isolated liver problem. The combination of elevated liver enzymes (SGPT/SGOT), fluctuating eosinophil levels, persistent digestive symptoms, weight loss, skin manifestations, and joint pains suggests an underlying imbalance that may not always be detected in routine investigations. In such cases, commonly associated causes can include: • Chronic allergic or parasitic tendencies (linked with eosinophilia) • Functional liver disturbance • Autoimmune or inflammatory conditions • Gut-related disorders affecting absorption and immunity Since your reports are largely normal but symptoms persist for several months, it is important to treat the case holistically rather than focusing only on lab values.

●𝗬𝗲𝘀 𝗶𝘁  𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 . ●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰 ●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳. ●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁. ●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲     𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.

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After going through your case it is difficult to give a single diagnosis it can be caused due to some of the drugs that you are taking unknowingly or it can be a parasite infection or autoimmune as well. We may advise you for some more test. You can click on calling button on our practo profile for consultation.

need to evaluate CBC and check for gilbert syndrome.

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These all becoz of fatty liver .. U can contact me online...