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GGT Was 180 One Month Back, And Now It Has

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Posted on Tue, 24 Dec 2019
Question: GGT was 180 one month back, and now it has jumped to 280. Patient is non alcoholic. Sgot is normal. Sgpt is 83. ALP is 176. What can be cause? Anything serious?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
i would like to have some more information before l can give my opinion.

1. Your age?
2. What symptoms you have? Why were these tests done?
3. Any other tests done?
4. Any scan done?
5. Are you on any medication?
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)
These are the reports of my husband. He is 35yrs old
Never had alcohol
No other habits
Too much of bloating in abdomen and discomfort at times
Lipids, Hameogram, Diabetic profile, Vitamins, b12, thyroid,
AFP, CEA and PSA
All are done and all are normal
Vitamin D is just little low which is 21.
Rest all tests are normal
No scans done
He takes off and on paracetamol and disprin for his headaches
Last few months he had been taking pcm five to six times a month for intermittent fever
Right now there is no fever, he is feeling better with Liv 52. He is taking Liv 52 since one month for his GGT but still GGT raised by 100 points in one month.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (7 minutes later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
1.Does he smoke?
2. You have mentioned he had on and off fever? What was the cause for this fever?
Regards,
Dr.R.K
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (5 hours later)
He never smoked.
No bad habits
But he skips meals a lot and also he is deprived of sleep
He works till 2-3 late night and gets up early
Meals are erratic
Fever cause I am not sure. But there was respiratory tract issues too like cough cold. Now he is fine
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Follow up: Dr. Dr.P.Ratnakar Kini (5 hours later)
Please reply. Is there anything to worry?
What can be the reason for this raises GGT? I m worried. Please help
doctor
Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
He is not only having raised GGT, but also raised SGPT nearly two times the upper limit of normal which is significant and mildly raised alkaline phosphatase.
Few other tests need to be done.
1. Ultrasound scan of the abdomen
2. HBsAg
3. Anti HCV
4. Serum Ceruloplasmin

Kindly get back to me with these reports.
Regards,
Dr.R.K
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)
I have uploaded his usg done today. Rest reports I will get them done and upload
doctor
Answered by Dr. Dr.P.Ratnakar Kini (3 minutes later)
Brief Answer:
Fatty Liver

Detailed Answer:
Hi,
His ultrasound scan report shows fatty liver which might probably be the reason for his elevated SGPT.
Kindly get back to me with the other reports once they are ready.
Regards,
Dr.R.K
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (22 hours later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr.P.Ratnakar Kini (10 minutes later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Dr.P.Ratnakar Kini (0 minute later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (10 minutes later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Both Hepatitis B and C are negative.
What about Ceruloplasmin report?
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)
We haven't yet received its hard copy. Called lab and they told the value as 26. Which they said is in normal limits. Kindly explain the reason for increased ALP, SGPt and especially increasing GGT so fast. I ok have left with only one follow up message. So please now tell me what is the problem and what is its solution.
Thankyou
doctor
Answered by Dr. Dr.P.Ratnakar Kini (16 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
GGT is elevated in liver and bile duct issues, alcoholism , due to certain medications used to treat seizures and heart failure.
In his case there is no history alcohol intake, no history of intake of those medications and any symptoms of heart failure.
As his SGPT (ALT) is also elevated the issue is liver disease related. Since his albumin and globulin ratio is normal and his scan shows only a fatty liver he is having only an acute issue and not chronic liver disease. This is most probably due to a recent viral infection from which he is recovering. His elevated SGPT can also be explained by the presence of fatty liver which is reported in his scan.
Let him continue taking Liv52. Let him also take Udiliv 300 twice. a day.
Let the liver function test be repeated after 4 weeks.
Regards,
Dr.R.K
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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GGT Was 180 One Month Back, And Now It Has

Brief Answer: Need more information Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. i would like to have some more information before l can give my opinion. 1. Your age? 2. What symptoms you have? Why were these tests done? 3. Any other tests done? 4. Any scan done? 5. Are you on any medication? Regards, Dr.R.K.