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Best treatment after Annual Health Check
I have attached annual health checkup blood report. Kindly perused and analyzed it. Suggest better medicines and tips. Before 15 days I was suffering from abdomen pain only no loose motion. I have taken antibiotics along with gas medicines under the supervision of the doctor.He advised for cbc lft and creatine test along with usg.
History - itching over the body on a particular part then after cure another part is affected. Is it due to High SGPT and OGPT?? The dermatologist said it is Eczema
Answers (17)
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kindly consult me on practo
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Your annual health checkup report shows several concerning abnormalities that need attention, especially in a 31-year-old male. The most important red flags are:
• Liver enzymes elevated: SGOT (AST) 60.7 U/L and SGPT (ALT) 116.3 U/L — both significantly high (normal
Next Steps
1. Consult a Gastroenterologist / Hepatologist urgently (within 3–7 days) — do not delay with high SGPT 116.
• Bring this full report + mention:
• Abdominal pain 15 days ago (treated with antibiotics + gas medicines)
• Itching migrating on body (diagnosed eczema)
• Alcohol intake (even social)? Fatty food? Weight? Medications?
• Likely tests they will add:
• Viral hepatitis markers (HBsAg, anti-HCV, HBV DNA if needed)
• Autoimmune markers (ANA, ASMA, AMA)
• Ultrasound abdomen (if not recent) — check liver texture, fatty liver, spleen
• FibroScan or liver elastography (to see fibrosis)
• Repeat LFT in 2 weeks
2. Do not take more antibiotics without clear indication — they can worsen liver enzymes.
Health Tips
• Stop alcohol completely (even small amounts can spike enzymes)
• Diet:
• Low-fat, low-oil, no fried food, no red meat
• More green vegetables, fruits (papaya, beetroot, amla), dal, curd
• Avoid raw onion/garlic in excess, pickles, spicy food
• For itching:
• Use mild soap (Cetaphil, Sebamed)
• Apply moisturizer (Cetaphil DAM, Venusia Max, Atoderm) 3–4 times/day
• Levocetirizine 5 mg or Fexofenadine 120 mg once daily at night (safe short-term)
• Avoid hot water bath, woolen clothes, sweating
• Supplements (only after doctor confirms):
• Vitamin D3 60,000 IU weekly × 8 weeks + calcium 500–1000 mg/day
• B-complex or methylcobalamin 1500 mcg daily
• Silymarin (Livercare / Liv.52 DS) — liver-protective, safe to start
• Lifestyle:
• Walk 30–45 min daily
• Sleep 7–8 hours
• Reduce stress (yoga/breathing)
Your liver enzymes are significantly elevated — this is not normal and needs urgent specialist evaluation to find the cause (fatty liver, viral, alcohol, medicine side effect, auto-immune, etc.). Itching and fatigue are likely connected.
For a detailed, personalized plan (exact medicines/doses, diet chart, which specialist in your city, how to track improvement, and when to retest LFT), please book an online consultation with me — I’ll review your full history, symptoms, and reports to give you clear, step-by-step guidance so you can get the right treatment quickly and safely.
Looking forward to helping you feel better soon — let’s get this sorted together
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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U might be suffering with the Non Alcoholic Fatty Liver Disease and need to examine the lesions ... kindly consult if u need more
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Liver enzymes are slightly raised. Get tests done for hepatitis B and C. If you take alcohol quit it, avoid fatty meals.
For itchy parts,share if you have eruptions and or rashes over that part?
Get cbc done
Take tab cetrizine 5mg one morning and one evening for 7 days.
Tab monteleukast 10mg one daily in evening for 7 days.
Share a pic of the itchy part, then I can guide you further.
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Lft not found. Some times bile salt bile pigment raise is cause of itch.
MOST IMPORTANT
VERY LOW VITD3
SO AS B12
SUPPLEMENT UPRISE D60K ONCE A WEEK FOR EIGHT WEEKS FOLLOWED BY ONE PER MONTH FOR SIX MONTHS A COMPLETE THERAPY BY WHO. NEUROKIND OD ONE AT NIGHT AFTER DINNER FOR 2 MONTHS.
FOR ITCH
DRY SKIN AS ITS WINTER APPLY LOCALLY COCONUT OIL N CAMPHOR OR GLYCERIN WITH LEMON.
TAB MONTEK LC ONE AT NIGHT TILL REQUIRED.
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Raised liver enzymes levels (sgot and sgpt) are due to non alcoholic fatty liver disease, as ggt levels are normal. You don't panic, it's just a fatty liver, common in Indians. It may also be due to excessive alcohol consumption in the past and now you have stopped taking alcohol and the liver is recovering. Ggt normal levels indicate non alcoholic fatty liver disease.
Vitamin levels are too low (severe deficiency), take one dose of Intramuscular vit d3 injection, and after one week of that injection take, arachitol nano 5 ml syrup once a week (one 5 ml shot once a week only) and continue to take it for 8 weeks regular (8 shots in total).
Vitamin b12 levels are also low, although in normal range but it should be around 400. So take neurokind plus tab once a day after breakfast for 3 months
Next Steps
avoid processed food, low sugar, avoid alcohol consumption
Health Tips
USG abdomen to be done and consult with me on practo anytime for further examination and evaluation
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Go for blood investigations like HBsAg ,Anti HCV ,HIV ,serum iron, hemoglobin level,
You are having vitamin d and B deficiency.
Take Tablet vitamin D3 60k once per week for 2 months and then once for month further.
Start Tablet Calcium citrate 500 mg after lunch and dinner daily .
Start tablet Methylcobalamin 1000 ug daily after breakfast.
Include diet rich in milk , curd, eggs, fish,chicken.
Sun exposure for 30 min between 11 am to 1 pm.
Tablet Cetirizine 10 at night daily for seven days .
Next Steps
will need further evaluation ,go for blood investigations like HBSAG,anti HCV, HIV,PT INR,serum iron ,Hb,serum ceruloplasmin,usg abdomen
Health Tips
consult me
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Vitamin D deficiency with deranged lipid profile,liver enzyme elevated ,b12 is slightly low. Itching also .you need to evaluate first properly and then start management. Please feel free to consult me on practo for further management and evaluation.
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Need some more details kindly consult
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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There is severe Vitamin D deficiency which needs treatment. Start by taking D3 60,000 IU once a week for 8-10 weeks. Dose can be reduced afterwards after consultation.
Your cholesterol levels are haywire for which start with dietary and lifestyle changes first and recheck lipid profile after 6 weeks.
SGOT and SGPT are borderline deranged and not very significant right now. They can also rechecked alongwith lipid profile.
Itching could be due to seasonal dermatitis and dry skin. Take T. Levocet 10 mg at night for 10 days. Keep yourself hydrated and apply moisturiser.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Vitamin D Deficiency
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Rohit Bakshi
General Physician
11 yrs exp
Jammu
Beta I have seen your reports and it shows your have little high cholesterol and which is reason for elevated liver enzymes. If you are alcoholic or smoker stop that and if not then stop refined oils and fried junk foods. Your condition is not alarming. Rest picture is good except d3 and b12 which are deficient in many indians.
Take milk products and some supplements for that
Next Steps
There’s nothing to panic about
Health Tips
Take supplements and avoid fried, refined oils and maida foods
Exercise daily
You will have normal lipid profile
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