Thank you very much for the useful information Tony.
SGPT (also called ALT) is an enzyme produced by the liver cells. Apart from this, other enzymes like AST, GGT and ALP are also produced by the liver.
A rise in levels of these enzymes simply means problem with the liver or its associates structures.
ALT can rise due to many reasons including;
Chronic hepatitis B and C
Acute Hepatitis (due to any viral infection in which case the readings of ALT are very high, sometimes in thousands)
Fatty liver (related to obesity and insulin resistance)
Then there are certain diseases with genetic components like hemochromatosis, wilson's disease, autoimmune hepatitis, biliary cirrhosis etc
Drugs are also a important reason as many drugs (like tylenol) can give a rise in ALT levels.
If the readings are persistently high, then it is a definitive indication to get this investigated in detail.
Hepatitis B/C screening
Ultrasound of the liver (to look at its echo texture)
Autoimmune profile (for autoimmune hepatitis and biliary cirrhosis)
Ceruloplasmin levels (for wilson's disease) and ferritin levels (for hemochromatosis)
And finally liver biopsy if all the suggestive investigations turn out to be negative.
I would simply repeat the test after 2 weeks to see if the levels go back to normal or not, and if these levels remain high, the above mentioned investigations should be started one by one (biopsy is the last in order).
Meanwhile, drink lot of water.
Switch to veggies and fruits and avoid fatty meals and all sort of meats for a while.
Daily exercise (at least 3-5 km) for at least 5 days a week.
Use silymarin (milk thistle extract) for 4 weeks.
Avoid alcohol at all costs.
And do not use any medication with out looking at its effects on the liver.
Repeat the test after 4 weeks, as these measures will help minimize the ongoing liver damage and will bring down the ALT levels down.
However, to treat the problem with certainty and exact underlying cause need to be identified for which meticulous investigations should be performed so that a specific and targeted management plan is instituted in time.
I would have been worried too if I were at your place, but let me reassure you that this is a treatable condition and carries a good prognosis with appropriate management.
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