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Female | 61

Should I worry about elevated liver test results?

I did my LFT last Thursday. The albumin, protein, CRP and GGT were slightly elevated. I'm a diabetic. Should I be worried?

1 Answer
Dr. Gaurav Gupta

Surgical Gastroenterology

Answered on 28th Jan '25

Elevated levels in your liver function tests can indicate several factors, including inflammation or liver-related issues, especially in the context of diabetes. Symptoms to watch for include fatigue, yellowing of the skin, or abdominal pain. Various causes, such as medications or dietary habits, can contribute. It's essential to monitor your diabetes closely and consider lifestyle adjustments, such as a balanced diet and regular exercise. However, I recommend scheduling an appointment with a hepatologist for a thorough evaluation and personalized guidance. 

2 people found this helpful

Questions & Answers on "Hepatology" (141)

Sir, there was pus in my liver, then I got the treatment done in LIBS hospital and they removed the pus through operation, then I got cured but there is pain in my right shoulder blade and on the opposite chest side too, I went through the operation. When I asked the doctor after two months, he said that it might be due to gas, but I still have pain in the shoulder blade.

Male | 29

The pus was successfully removed from your liver. However, you still have pain in your right shoulder blade and chest. Sometimes, gas can get trapped in the body after surgery, causing discomfort. However ongoing pain in these areas could also be a sign of muscle strain or inflammation. It’s important to inform your doctor so they can investigate further and find ways to relieve the pain.

Answered on 21st Aug '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

I'm 30 years Male & suffer from Liver disease (Fatty Liver G-1) I have lose my wait 6 kg from 66( height 5'.5") How can i recover from this disease?

Male | 30

• Fatty liver disease is a condition caused by fat buildup in the liver (i.e., when fat percentage exceeds 5 - 10% of your liver's weight), which can be caused by alcohol intake and/or a high fat diet. Individuals who are obese/overweight, have poor glycemic control/insulin resistance, have metabolic syndrome, and are taking specific drugs such as amiodarone, diltiazem, tamoxifen, or steroids are at risk of developing fatty liver.

• In some situations, it is thought to be symptomless, but in others, it can cause substantial liver damage. The good news is that it is frequently avoidable or reversible with lifestyle modifications.

• It progresses through 3 stages which include Steatohepatitis (swelling and damage of liver tissue), Fibrosis (scar tissue formation where your liver is damaged) and Cirrhosis (extensive scar tissue replacement with healthy tissue). Cirrhosis can lead to liver failure or cancer.

• Laboratory investigations consists of Liver functions tests such as AST, ALT, ALP and GGT; Total Albumin and Bilirubin, CBC, Test for viral infection, Fasting Blood Glucose, HbA1c and Lipid profile.

• Imaging procedures such as Ultrasound, CT /MRI, Elastography (for measuring stiffness of liver) and Magnetic resonance elastography and Biopsy (for ruling out any cancerous growth and for signs or any inflammation and scarring).

• If a patient has a fatty liver, he or she should be checked for the entire metabolic syndrome, which includes diabetes, hypertension, cholesterol, and thyroid issues.

• The best way to treat fatty liver is with making some lifestyle changes which can significantly improve your health which includes – Avoiding alcohol and High fat diet, Losing weight, taking medications for controlling glucose and fat(Triglyceride and Cholesterol) levels and Vitamin E with Thiazolidinediones in specific instances.

• Currently, no drug treatment is approved for management of fatty liver disease.

In order to prevent further progression of disease one can:

 Maintain a healthy weight by consuming food less/minimal in in its fat percentage.

 Follow a Mediterranean diet which is high in vegetables, fruits and good fats.

 Exercise regularly for 45 minutes where in you can include combination of cycling with walking, cardio, CrossFit and yoga with meditation.

 Restrict alcohol consumption

 Consult a hepatologist near you for further evaluation and treatment and your dietician for advice on fat loss.

 

Answered on 23rd May '24

Dr. Sayalee Karve

Dr. Sayalee Karve

I am suffering from chronic liver disease from may 2017. I was fine but now my serum bilirubin in 3.8 and early 10 days 5.01 without any symptom

Male | 55

• Cirrhosis is a late stage of liver scarring (fibrosis) induced by a variety of liver disorders and conditions, including hepatitis and persistent drinking. When your liver is damaged, whether through illness, excessive alcohol intake, or another cause, it attempts to restore itself. Scar tissue arises as a result of the procedure.

• It causes scar tissue to grow, making it harder for the liver to function (decompensated cirrhosis) and is considered to be potentially fatal by nature. The liver damage is often irreversible. However, if detected early and the underlying cause is addressed, additional damage can be reduced and, in rare cases, reversed.

• It often has no signs or symptoms until liver damage is extensive.

• On damage the following signs/symptoms can be seen  - Fatigue , easy bleeding/bruising , Loss of appetite, Nausea, pedal/ankle odema, Weight loss, Itchy skin, Yellow coloured eyes and skin, ascites(fluid accumulation in abdomen), spiderlike blood vessels, redness of palms, absence/loss of periods (not related to menopause), libido and gynecomastia(breast growth in males)/testicular atrophy, Confusion, sleepiness, and slurred speech (hepatic encephalopathy)

• Usually, the total bilirubin test shows 1.2 mg/dL for adults and 1 mg/dL for children under the age of 18. The normal value for direct bilirubin is 0.3 mg/dL.

• Normal findings may differ somewhat between men and women, and results may be influenced by particular diets, drugs, or severe activity. Bilirubin levels that are lower than normal are typically not a cause for worry. Elevated levels might be a sign of liver injury or illness.

• Higher-than-normal amounts of direct bilirubin in your blood may suggest that your liver isn't adequately removing bilirubin. Elevated indirect bilirubin levels may signal other issues.

• Gilbert's syndrome, a lack in an enzyme that aids in the breakdown of bilirubin, is a frequent and innocuous cause of high bilirubin. Further tests may be ordered by your doctor to explore your situation. Bilirubin test results can also be used to track the evolution of specific illnesses like jaundice.

• Further laboratory investigations such as AST(aspartate aminotransferase), ALT(alanine transaminase), ALP(alkaline phosphatase) and GGT(gamma-glutamyl transpeptidase); Total Albumin, Lactic Dehydrogenase, Alpha protein, 5’nucleotide, mitochondrial antibody and PTT levels need to be determined and procedures such as CT scan, MRI (for liver tissue damage) and biopsy (in case of chance of any cancerous growth) need to be performed.

You can also visit hepatologist for detailed treatment.

Answered on 23rd May '24

Dr. Sayalee Karve

Dr. Sayalee Karve

My father got liver disease from last 6 months after we removed galbladder 8 month before due to stone. That time doctor told having liver disease ,now they are asking to do liver transplant can you suggest is it necessary to do or any other option with medication can cure.

Male | 62

If your father has been diagnosed with liver disease following gallbladder removal, and the doctors are recommending a liver transplant, it suggests that his liver function has significantly declined. A liver transplant is considered the definitive treatment for end stage liver disease when other options may not be sufficient. 

Answered on 23rd May '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Sir liver me sujan and ant me infection hai

Male | 21

The liver is swollen due to an infection in the intestine, a severe condition. Symptoms include stomach pain, tiredness, yellow skin (jaundice), and fever. The causes are viruses and bacteria. To help, the doctor prescribed medications for the infections and suggested a special diet to support the liver. Following a doctor's advice carefully is crucial for proper treatment.

Answered on 20th July '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

I am 28years old,female and I am hepB carrier. My dad has undergone liver transplant surgery due to liver cirrhosis and tumour. I checked my HBVDNA and it's quite high in level (in crores) and I have consulted a doctor and he advised me to take antiviral drugs(Tafero800mg-OD) as a preventive measures since my dad suffered from liver cancer. I have taken this medicine for more than 4month and it doesn't bring changes in Dna level counts. So I discontinued my treatment. My all blood reports as well as USG and liver fibroscan is normal but my HbvDna level is still up. My dad has been taking tab.entaliv 0.5mg and it helps my dad's level to come down drastically. Please do prescribed me the best and most effective medicine,Thank you.

Female | 28

Answered on 23rd May '24

Dr. Sayalee Karve

Dr. Sayalee Karve

When you have liver cirrhosis does your belly get hard and tight and uncomfortable can't eat everything taste nasty got a bad knee that looks a bad infection like someone ate his knee off bad...

Male | 56

In advanced stages of liver cirrhosis, the abdomen can become distended and feel firm or tight due to fluid accumulation (ascites). This can cause discomfort and difficulty eating. Whereas changes in taste perception and a knee infection are not directly related to liver cirrhosis and would require separate evaluation 

Answered on 23rd May '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Assalam o alailum doctor i m 2 years old girl i found my hepatitis positive there is no body for help me what should i do

Female | 21

follow these herbal combination for complete cure :- sootshekhar ras 35 mg twice a day, pittari avleh 2 gms twice a day, send her report initially

Answered on 10th July '24

Dr. N S S Gauri

Dr. N S S Gauri

In my liver test SGPT is 42 and GAMMA GT is 57 more than normal range

Female | 35

Since your SGPT and Gamma GT levels showed higher values, your liver test result is fine, but slightly elevated. It may be a sign of the disease process that is manifesting itself in the form of liver damage or inflammation. Consult with a hepatologist is important. They can propose the right therapeutic methods which suits your situation best.

Answered on 23rd May '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

I'm taking liver syrup from home. I'm black jaundice

Male | 34

Black jaundice, also known as hepatitis E, can make your skin and eyes turn yellow. It can lead to weariness, fever, and haul of the belly. This is due to the liver getting sick from a particular virus. To get better, sleep a lot, drink only clean water, and consume proper foods. Don't use alcohol and don't eat fatty foods. Your body will be able to destroy the virus in a few weeks.

Answered on 10th Oct '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

What amount of s.g.p.t value to normal liver

Male | 18

When we assess S.L.T. the S.G.P.T level is being analyzed. A normal S.G.P.T level for a healthy liver is below 40 units per liter. Higher levels of the liver could indicate that it is not healthy. Signs like weakness, jaundice, or the yellowing of the skin, are some of the symptoms. Drinking too much alcohol or having a fatty liver are among the causes. To get better, drink less of alcohol and eat a diet full of vegetables.

Answered on 2nd Aug '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

How to cure Sirosiss disease

Female | 32

send your reports initially

Answered on 11th Aug '24

Dr. N S S Gauri

Dr. N S S Gauri

Hello Doctor, I did liver function test. I want to share the result with your for your professional advice.

Other | 27

please send your report initially

Answered on 5th July '24

Dr. N S S Gauri

Dr. N S S Gauri

Contrast Enhanced Computed Tomography of the whole abdomen showing moderate hypatomegaly with coarse attentuation, edematous GB mild dilated portal vein,splenomegaly,diverticulituis in sigmoid colon. Crystitis. My brother suresh kumar's report has been admitted in Maharaja Agrasain Hospital, Punjabi Bagh and the doctor has recommended us for a second opinion. Kindly advise / suggest next course of action if possible.

Male | 44

WhatsApp the report to me

Answered on 8th Aug '24

Dr. Pallab Haldar

Dr. Pallab Haldar

Hai i am male 49 years, from few months my platelets count reduced up to 27000. Gastro dr. do sonography and endoscopy, and find compensated cirrhosis of liver. i want to Know what is the long term effect and what kind of diet should i take. Thanks

Male | 48

If your doctor has suggested that you are suffering from compensated cirrhosis, this means the patient is in the early stage of cirrhosis. such patients need to be evaluated thoroughly for the cause of cirrhosis. Also these patients need to be under regular follow up with liver specialists to diagnose and treat complications when and where these complications arise. Also these patients need to be under strict liver-related diet control. Diet is generally modified and custom made for each and every patient. Hope this clears your doubt and reach out if you do have unresolved queries!

Answered on 23rd May '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

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