I am male 41 years, since 5 years found elevated liver enzyme SGPT only till present its between 80-100?

Question

Iam smoker,not alcoholic, on anti hypertention drug amiderone 10 mg daily and on anti gastric ulcer Losec 20mg daily, hepatitis B, C negative,HIV negative.

Answer 1

SGPT (Serum Glutamic-Pyruvic Transaminase - ALT)
Serum Glutamic Pyruvic Transaminase or ALT is an enzyme found primarily in the liver but also to a lesser degree, the heart and other tissues. It is useful in diagnosing liver function more so than SGOT levels. Decreased SGPT in combination with increased cholesterol levels is seen in cases of a congested liver. We also see increased levels in mononucleosis, alcoholism, liver damage, kidney infection, chemical pollutants or myocardial infarction.

Normal Adult Range: 0 - 48 U/L
Optimal Adult Reading: 24

ALT is the best test for detecting Hepatitis. So your high reading of 80-100 is consistent with your diagnosis of Hepatitis B.

If you have hepatitis B virus infection( HPV), you are not alone. Today, 1.25 million people in the United States are chronically infected with HBV. The majority of infected people feel healthy for their entire lives and do not demonstrate any evidence of ongoing liver damage. Other people progress to levels of more severe disease. Some people ultimately develop liver scarring (cirrhosis), liver failure, or liver cancer. It is important that you take care of yourself. And because it is possible to spread HBV to others, you have to know how to protect your family, friends, and others from this disease.
How you can take care of yourself

People who have chronic HBV infection need regular monitoring of their liver condition to determine whether their disease is progressing, whether treatment is needed, or whether a liver cancer is developing. Make sure you do the following:

See your doctor for evaluation of your liver's condition once or twice a year. Certain blood tests need to be performed periodically to monitor your liver's health. Discuss with your doctor if you are a candidate for antiviral medication. These medicines are given to certain people with chronic liver disease.

Discuss with your doctor about getting periodic ultrasounds, alpha-fetoprotein blood tests, or other studies to make sure there is no evidence of a developing liver cancer. Physicians may recommend different schedules for ultrasounds and blood tests depending on the patient's age, sex, ethnicity, age at which the infection was initially acquired, family history, HBeAg status, and liver enzymes. Usually, ultrasounds and blood tests are recommended every six to 12 months.

Review with your physician all medications you take. Even some "over-the-counter" medications can injure your liver.

If you are pregnant, tell your physician that you have chronic HBV infection. It is essential that your baby be given hepatitis B immune globulin (HBIG) and started on hepatitis B vaccine within 12 hours of birth.

Avoid alcoholic beverages. Alcohol can damage your liver.

If your liver disease has progressed...

If your liver disease progresses, here are some extra precautions you should take:

Get your yearly influenza vaccine. Patients with severe liver disease should also receive pneumococcal polysaccharide vaccine.

Get vaccinated against hepatitis A. Hepatitis A can further damage your liver.

Don't eat raw oysters. Raw oysters may carry the bacteria Vibrio vulnificus which can cause a serious blood infection in individuals with liver disease. Approximately 40% of these cases are fatal.
How to protect others from HBV infection

People can get HBV infection from you by coming in contact with your blood, serum, semen, or vaginal fluids. HBV has also been transmitted by human bites. Although HBV has been detected in low concentrations in other body fluids, including tears, sweat, urine, feces, and breast milk, these fluids have not been associated with transmission. Fortunately, HBV is not spread by sneezing or coughing, or from casual contact such as holding hands. Here are some important guidelines for you to follow so that others are protected:

Tell your sex partner(s) that you are infected with HBV. Your sex partner(s) must see a physician for hepatitis B blood testing. If, according to the blood tests, your partner has never had hepatitis B, he or she should be vaccinated. After the series of three shots is completed, your partner needs to return to the doctor for blood testing to make sure the vaccine protected him or her. Use condoms until your partner is proven to be protected from HBV.

Make sure all household members see their physicians for hepatitis B testing and vaccination.

Tell your health care providers that you are infected with HBV.

Cover all cuts and open sores with a bandage.

Throw away used personal items such as tissues or menstrual pads in a bag so others will not be exposed to your blood.

Wash your hands well after touching your blood or body fluids.

Clean up your blood spills. Then reclean the area with bleach solution (one part regular household bleach to 10 parts water).

Do not share toothbrushes, razors, needles for ear piercing, nail files, clippers, nail scissors, washcloths, or anything that may have come in contact with your blood or body fluids.

Do not share food that has been in your mouth (e.g., chewing gum) and do not pre-chew food for babies.

Do not share syringes and needles.

Do not donate blood, plasma, body organs, tissue, or sperm.

Know that if someone is exposed to your blood—be it a family member, a friend, or even a stranger—preventive treatment is available for that person. If the exposed person receives HBIG and starts the hepatitis B vaccine series within a few days, that person has an excellent chance of being protected from HBV!

Learn more about hepatitis B so you can make the best decisions for yourself and provide the best protection for your family and friends.
More resources...

If you have further questions, contact one of these trusted resources:

Immunization Action Coalition
[phone]
www.immunize.org

American Liver Foundation
[phone]
www.liverfoundation.org

Centers for Disease Control and Prevention
[phone]
www.cdc.gov/hepatitis

Hepatitis B Foundation
[phone]
www.hepb.org

Hepatitis Foundation International
[phone]
www.hepfi.org

National Digestive Diseases Information Clearinghouse
[phone]
www.niddk.nih.gov

Parents of Kids with Infectious Diseases (PKIDS)
[phone]
www.pkids.org

Answer 2

My liver function was high on hypertensive medication.
It is back to normal now I am off the medication.
Do you drink some people show elevated liver function with even small amounts of alcohol.

Answer 3

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Answer 4

Stop smoking---it is anti social... And stinks... If you were broken the doctor would have told you so....

Answer 5

boy, you haven't lived...t