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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low Platelets, Elevated SGOT And SGPT. How To Bring Down Levels?

MY FATHER IS 70 YRS OF AGE WITH POST CABG ,DM2 ,HTN,CLD AND MUSCULAR RIGIDIRY IN THE RIGHT FEMUR HE DOES NOT WALK MUCH HIS PLATELETS ARE LOW AND SGOT SGPT MILDLY ELEVATED ,HE IS ON MED INSULIN TWICE DAILY,UDILIV ,VIT D ONCE A WEEK LOSARTAN POTASSIUM ONCE DAILY ,STOPPED ECOSPRIN FOR THE LAST 15 DAYS BCOZ OF LOW PLATELETS ,INR NOT DONE,SUGGEST HOW TO BRING DWON OT,PT ... THANKS
posted on Wed, 7 Nov 2012
Twitter Wed, 27 Nov 2013 Answered on
Twitter Thu, 28 Nov 2013 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for using Healthcaremagic,

Your father is having multiple medical problems and taking many drugs.

How much liver enzymes are elevated and what are the numbers for platelets and need to be correlated clinically and treatment depends on cause.

Many diabetic and cholesterol medicines are metabolized in liver can lead to elevation of liver enzymes SGPT and SGOT and logically dose of of such drug needs to be reduced or stopped altogether.

Infection like viral fever can increase liver enzymes this needs to be treated accordingly.

Other common cause could be Fatty liver which can be easily diagnosed with Ultrasound examination.

This is good that aspirin is stopped please repeat liver function and platelet count if count is still low and associated with bleeding then supportive transfusion(PRP) may be required.

Please consult Internal medicine specialist treatment depends on cause.

Hope this helps,
Take care.
Good Luck.
Dr.Akhilesh Dubey M.D.


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Low Platelets, Elevated SGOT And SGPT. How To Bring Down Levels?

Hi, Thanks for using Healthcaremagic, Your father is having multiple medical problems and taking many drugs. How much liver enzymes are elevated and what are the numbers for platelets and need to be correlated clinically and treatment depends on cause. Many diabetic and cholesterol medicines are metabolized in liver can lead to elevation of liver enzymes SGPT and SGOT and logically dose of of such drug needs to be reduced or stopped altogether. Infection like viral fever can increase liver enzymes this needs to be treated accordingly. Other common cause could be Fatty liver which can be easily diagnosed with Ultrasound examination. This is good that aspirin is stopped please repeat liver function and platelet count if count is still low and associated with bleeding then supportive transfusion(PRP) may be required. Please consult Internal medicine specialist treatment depends on cause. Hope this helps, Take care. Good Luck. Dr.Akhilesh Dubey M.D.