The SGOT and SGPT of a 77 years old lady is 117.00 u/l and 103 u/l respectively.GGTP is 48.00 u/l. Other LFT values are normal. The patient is tested positive for HCV. USG (abdoment) indicates mild changes and inflamation of liver and thickened wall gall blader with gall stone bof 18 mm. Kindly suggest what medicine should be given to bring the SGPT, SGOT and GGTP level and other lever related problems. Regards, Karan
Hi Karen, Elevations in GOT and SGPT are indicative of injury to the liver cells. Given that the patient is HCV positive, the most probable cause is hepatitis due to Hep C virus. You should get the Hep C RNA levels checked to r/o active hepatitis C. She will also probably require a biopsy of the liver (if not already done) to look at the stage of fibrosis. The GB wall thickening in the presence of a stone suggests chronic cholecystitis, but in the absence of symptoms, does not need any intervention at present.