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SGOT/SGPT ratio 1.47
I am attaching my husband's LFT profile. Iam quite worried about the sgot/sgpt ratio. He is having Fatty liver grade 1 and tiny GB polyps since one year. Recently he is suffering from right side upper abdomen pain which increases on eating meals and loose motions which are slightly pale in colour.
Kindly suggest and help as iam worried a lot
Answers (35)
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Good day to you
I understand your anxiousness for your husband's well being
It's good that you have provided the history of past illness
However given the diagnoses he has and different conditions which can cause the same set of symptoms. He will need one to one detailed consultation with history and examination and it is injurious to him for his case to be dealt via this platform which does not provide much information
I hope this advice provides you the much needed insight
Wishing your husband a speedy recovery 👍
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Kindly consult a general surgeon and get relevant tests and scans done.
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Kindly get an ultrasound done recently and visit to your surgeon doctor for further evaluation
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if not relieved by medication, consult surgeon cause pain is happening becoz gall bladder
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Avoide spicy food
Take pantodac dsr in morning
T.udilive 300 bd for 5 day
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SURGEON OPINION REQUIRED
Next Steps
AVOID EATING OLIY FOODS
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No need to worry
Start cap rabmac dsr 10 day before breakfast
Cap oflamac 200 twice a day 5 days
Tab livmac 150 twice daily 10 daya
Plenty of fluid
Walk for 30 minute and yoga
Next Steps
Avoid oily food and alcohol
Stress free day
Health Tips
Go for USG and blood test after 15 days
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Altered adt/alt ratio with the normal liver enzymes is not an issue.His symptoms could be due to gastric issues or hepatobiliary issues.He could repeat the ultrasound scan abdomen if it's been more than a year
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As he is symptomatic, will suggest an whole USG abdomen, this should make the things clearer.
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Consult online
Avoid excess oily food fried items
Start detox drink every day morning empty stomach
Regular Walk simple exercises daily
Regular checkup
Call will guide you further
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Would suggest to go for USG whole abdomen to rule out any eary obstruction
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No need to worry...
Do some weight loss and dieting... Avoid fatty foods... Light coloured stools is warning sign... But slightly light coloured has nothing to worry...
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Bilirubin levels also in higher side, consult superspecialist like gastroenterologist
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Bilirubin direct and indirect are on the higher normal side ,same is with OT/PT ratio.
Nothing alarming.
Grade one fatty liver can be reversed with dietary changes by avoiding fried food , light exercises and avoiding alcohol. Regarding polyp in Gall bladder which might be the cause of abdominal pain and pale stools ,you should consult a surgeon.
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LFT is Normal
Adv Get USG whole abdomen
Than consult
It might be a gall bladder issue
And what about his Diet ? Or any addiction
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Need more details in the blood tests and ultrasound report and review
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Get USG abdomen
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Hello Madam,
I’ve reviewed your husband’s liver function test (LFT) report. The results are largely within normal limits. The SGOT/SGPT ratio (1.47) is slightly above the upper limit but still not worrisome by itself, especially since both enzyme values (SGOT 21.3, SGPT 14.5 U/L) are well within normal ranges.
The bilirubin levels are only marginally elevated (total 1.04 mg/dL, indirect 0.83 mg/dL), which can occur due to mild fatty liver, fasting, dehydration, or Gilbert’s syndrome (a harmless condition).
However, since he has fatty liver and small gallbladder polyps, the right upper abdominal discomfort after meals could be due to:
• Fatty liver–related dyspepsia or mild hepatic congestion, or
• Gallbladder polyps or stones irritating the gallbladder.
Loose, pale stools can indicate mild bile flow disturbance.
Recommended next steps:
1. Ultrasound abdomen (if not repeated in the last 6 months) — to check fatty liver grade and gallbladder status.
2. Avoid oily and heavy meals, alcohol, and fried food.
3. Maintain adequate hydration and regular exercise.
4. Liver-protective diet: include high-fiber foods, green leafy vegetables, coffee (if no contraindication), and avoid unnecessary supplements.
5. Consult a gastroenterologist if pain or pale stools persist — to evaluate bile flow and polyps further.
At present, no urgent issue is seen in his LFT, but monitoring and lifestyle correction are advised.
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Hey Madam,
The blood investigations are ok. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.
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If you want to discuss your problem in more detail, feel free to to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Contact personally more details required as reports looks pretty normal nothing to worry about in this report. You can contact me through practo or whatsApp me eight three six eight seven two eight one three seven
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This is normal LFT.
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Dr. Muthu Prabhakaran M
General Physician
2 yrs exp
Chennai
SGOT/SGPT ratio 1.47 + pale stools = urgent evaluation needed.
Ratio >1 suggests alcoholic liver disease pattern. Combined with fatty liver, GB polyps, and new symptoms (pain after meals, pale stools) indicates possible bile duct or pancreas involvement.
Urgent tests: Repeat LFT + GGT/ALP, Lipase/Amylase, Ultrasound abdomen
Action: See gastroenterologist THIS WEEK. Stop alcohol completely. Strict low-fat diet. Pale stools are red flag - don't delay.
Health Tips
SGOT/SGPT ratio 1.47 with new symptoms needs attention. LFT Analysis: - Ratio 1.47 suggests ALCOHOLIC liver disease pattern - Normal ratio is 0.8-1.0 - Ratio >1 suggests alcohol or cirrhosis - Fatty liver grade 1 present New Symptoms Are Concerning: - Right upper abdomen pain after meals - Pale loose motions = possible bile/fat malabsorption - Could indicate: 1. GB polyps growing (need monitoring) 2. Bile duct issues 3. Pancreatic involvement 4. Worsening fatty liver Urgent Tests Needed: 1. Repeat LFT with GGT, ALP 2. Lipase/Amylase (pancreas) 3. Ultrasound abdomen (check GB polyps size) 4. Stool for fat globules Treatment: 1. Stop alcohol completely if consuming 2. Liver protection: Ursodeoxycholic acid 3. Low-fat diet strictly 4. Digestive enzymes before meals Red Flags: - Polyps >1cm need surgery - Pale stools = serious - Worsening pain = urgent evaluation Recommendation: See gastroenterologist urgently - don't delay.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Do connect and consult
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Dr. Romain Rajan
General Physician
2 yrs exp
Ghaziabad
Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. The symptoms you described such as right upper abdominal pain after meals, pale loose stools and existing fatty liver with gallbladder polyps suggest that the liver and gallbladder are mildly inflamed or sluggish. The SGOT and SGPT ratio being slightly altered is common in such conditions and usually reflects fatty liver related enzyme changes rather than any serious damage.
â
Advices
Avoid oily, fried and spicy food completely for the next four to six weeks.
Eat small frequent meals and stop eating immediately once full.
Avoid alcohol, painkillers and any unnecessary supplements.
What to Monitor
Worsening pain, nausea or vomiting after meals.
Yellowing of eyes or dark urine which can indicate bile flow disturbance.
Management
Start with
⢠Tablet Pan D once daily before breakfast for 10 days to reduce acidity and nausea.
⢠Syrup Liv 52 one teaspoon twice daily after meals for liver support.
⢠Continue a high fibre diet with fruits like papaya, apple and plenty of water.
You can also apply a warm compress on the right side for relief if the pain is dull.
When to Consult a Doctor Immediately
If pain becomes severe or persistent even without eating.
If stools turn very pale or clay coloured.
If fever, vomiting or yellowing of skin develops.
Since gallbladder polyps can occasionally change over time, a repeat ultrasound every 6 to 8 months is advised to ensure there is no growth in size.
Every patientâs liver condition differs. For accurate guidance and lasting relief, it is important to review the full LFT report and ultrasound details together.
ð You can reach out to me directly for this case and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive
A personalized liver recovery plan
Safe diet and medicine guidance
Quick follow ups to track enzyme improvement
Take care and wishing your husband good health.
Best regards,
Dr. Romain Rajan
General Physician
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Dr. Navneet
General Physician
3 yrs exp
Ambala
Your husband reports are not worrying,it shows slight change which can be manage,gb polyp is not of main concern ,your husband showing symptoms of abdominal pain which increase on eating meal with loose stools ,it can be due to h.pylori infection or peptic ulcer
Next Steps
you can go for endoscopy to rule out peptic ulcer ,since it hurt after eating food
Health Tips
take pantoprazole,tab amoxycillin,tab clarithromycin,avoid fatty n oily foods take plenty of fluids
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Danish Qureshi
General Physician
15 yrs exp
Jaipur
Reports are fine. Get a USG whole abdomen and endoscopy done. It could be ulcers
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Use udliv 300
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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