apollo
  • Male
  • 22 Years
  • 29/01/2025

I've been dealing with a fatty liver, and just a couple of months ago, my SGPT levels were at 96. Now, thanks to medication, they've dropped to 63. But now I'm concerned because my direct bilirubin has gone up to 0.6, whereas it was normal before. Should I be worried about this change in bilirubin, and does it mean anything serious about my liver condition or overall health?

Doctor 1

Answered by 1 Apollo Doctors

Your SGPT levels have improved with medication, but your direct bilirubin has increased. This could indicate ongoing liver inflammation or damage. I recommend you continue with your current medication and also consider adding Ursodeoxycholic acid (UDCA) to help improve liver function and reduce bilirubin levels. Make sure to follow up with your doctor for monitoring and further guidance.

Dr. Dr Khaleel Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 04/07/2025

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Doctor 1Doctor 2

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I've been a bit worried since I recently had some blood work done. My total bilirubin was 1.77, so I took Livopill for 10 days, and my repeated test showed total bilirubin at 1.62, with DB at 0.63 and IDB at 0.99. The other results were total protein 7.6, serum albumin 4.9, globulin 2.7, AG ratio 1.8, SGOT 24, SGPT 25, alkaline phosphatase 92, GGTP 12, and my HBsAg was 0.24. Now, I've been told to take Ensules Plus for a month, but I feel this discomfort or pain just below my right rib. Should I be thinking about taking any other medication or is the pain something to worry about? Feeling a bit unsure about all this.

Your liver function tests show mild bilirubin elevation and normal liver enzymes, and the HbsAg result suggests you're not infected with hepatitis B; considering your symptoms and test results, consult your doctor about adding a liver protective supplement like silymarin or ursodeoxycholic acid to Ensules Plus, and for the rib pain, consider adding an antacid or acid reducer like omeprazole or ranitidine to alleviate discomfort, but only under medical guidance.

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Doctor 1Doctor 2

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My friend has been taking Colimex tablets for about seven months now, kind of using them like a drug. We're a bit worried because his SGPT level is 45. Could this be related to the Colimex, and what should he do about it?

Usually that's not related for your condition, this needs evaluation, visit Gastroenterologist for evaluation and appropriate treatment

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.