Download FREE Practo app
Get ₹200 HealthCash
Need proper Diagnosis
What are the probable causes of Elevated liver enzyme Sgpt 158, Sgot 50, bilirubin 1.6 and at the same time eosinophil spike to 12%...after that Sgpt trending down to 88 and 63 and sgot down to 43, but the eosinophil is fluctuating, sometimes 4%, sometimes 7%, but the symptoms persists. USG whole abdomen, vit d, hepatits b and c, fbs, thyroid, creatinine, chest x ray, ecg all done and came back clear. But symptoms like loss of appetite, Chest pain/pressure, sounds in abdomen, weight loss, dot like blanching rash under feet is persistent. Previously there was also recurrent abdominal pain in different location, finger joint pain, heel pain, scapula pain and pain in back of throat. Now these are less. All are happening from last 5 months, didn't get any proper diagnosis. I never drink alcohol or smoke in life, and also my life style and food habit is balanced. I never have obesity. Please tell me what is happening because this thing totally disturbed my daily life,sure something wrong.
Answers (35)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Consult me online through practo.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+133
Your reports show a mild liver enzyme elevation with persistent eosinophilia . It can be likely due to parasitic infection. It needs a attention cause this is not simple liver issue.
Next Steps
You can consult me via online on 708302736nine
Health Tips
Avoid outside/unclean food for now. Avoid self medication
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Kindly book a consultation so we can take a full case history.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello.
I have read your complain thoroughly .
Do not panic.
We are here to help you.
To prescribe and plan a treatment, detail history is needed.
Kindly connect for same.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello Practo User, use homoeopathic medications for your problem to get Instant and effective results.Its Curable, no need to worry about. Homoeopathic medicines plays Excellent role to treat Such problems in a hollistic way without any side effect.I suggest you to message me your complete history in private chat with all reports & details & Consult Online through Practo. I will guide you for holistic & effective Results with homoeopathy ! Take care !! Best Regards:)
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Homoeopathic medicine is best effective for your all complaints.
You will get permanent cure with homoeopathic constitutional medicine because I had cure many similar cases.
Need more details for proper treatment and guidance.
Next Steps
Kindly consult me on practo online or calling.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
After going through your case it is difficult to give a single diagnosis it can be caused due to some of the drugs that you are taking unknowingly or it can be a parasite infection or autoimmune as well. We may advise you for some more test. You can click on calling button on our practo profile for consultation.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You can consult me online.
Contact on
Nine four zero nine three seven two six zero zero
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Will be cured with my treatment
Consult me online via practo.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your reports show elevated SGPT with eosinophilia, which often points towards an allergic, parasitic, or drug-related cause rather than primary liver disease—especially since hepatitis tests and ultrasound are normal. The fluctuation in eosinophils and symptoms like rash, abdominal discomfort, and weight loss need deeper evaluation. You should consider tests like stool examination for parasites, IgE levels, autoimmune markers, and review any medicines/supplements you’ve taken in the past few months. Please consult a physician or gastroenterologist for a systematic workup rather than guessing the diagnosis.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello, your reports show elevated liver enzymes with fluctuating eosinophil levels along with multiple symptoms like appetite loss, rash, and body pains.
This combination can be seen in conditions like allergic reactions, parasitic infections, drug-related liver inflammation, or some immune-related issues. Since basic tests are normal, it needs a more detailed and stepwise evaluation.
As your symptoms are persisting for months, I would strongly recommend a proper online consultation so I can review your reports in detail and guide you with the next targeted investigations and treatment.
Early proper diagnosis will help you recover faster and avoid unnecessary stress.
Next Steps
“Avoid self-medication at this stage as it may alter reports further
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You can consult me online, will guide and treat u.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Do ESR ,CRP, RA factor and ANA by IF, sr. IgE level.
Next Steps
contact me
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Contact dr t
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
What youâre describing is not a simple isolated issue, but the pattern does give some useful clinical direction.
What your reports indicate
SGPT (158 â 88 â 63) and SGOT (50 â 43): suggests liver inflammation that is gradually improving
Bilirubin 1.6: mild elevation; can be seen in liver stress or conditions like Gilbert syndrome
Eosinophils 12% â fluctuating (4â7%): this is significant and usually points toward allergic, parasitic, or immune-related causes
Most likely possibilities
Parasitic infection (common and often missed)
Can cause eosinophilia, abdominal discomfort, appetite loss, bowel sounds, and even mild liver enzyme elevation
Skin manifestations like rash on feet can also occur
Allergic or hypersensitivity reaction
Food, environmental, or drug-related
Can explain eosinophilia, rash, and sometimes chest tightness or discomfort
Eosinophilic gastrointestinal condition
Such as Eosinophilic gastroenteritis
Can cause abdominal symptoms, weight loss, appetite loss, and fluctuating eosinophils
Systemic eosinophilic disorder (needs exclusion)
Example: Hypereosinophilic syndrome
Considered when symptoms are prolonged and involve multiple systems
Post-viral inflammatory phase
Liver enzymes improving supports this, but persistent eosinophilia and symptoms suggest something ongoing
Important concerns in your case
Symptoms persisting for 5 months
Weight loss and appetite loss
Fluctuating eosinophil levels
Multi-system involvement (liver, gastrointestinal tract, skin, earlier joint pains)
This means the root cause has not yet been identified, even though basic investigations are normal.
What should be done next
You need more targeted evaluation rather than repeating routine tests:
Stool examination for ova and parasites (preferably 2â3 samples)
Absolute eosinophil count (AEC)
Serum IgE levels
Peripheral smear review
Repeat liver function test for trend
Gastroenterology consultation if symptoms persist (may consider endoscopy if indicated)
Can this be treated
Yes, but treatment depends on the exact diagnosis:
Parasitic causes require specific anti-parasitic therapy
Allergic or eosinophilic conditions need immune-modulating treatment
Liver enzymes in your case are already improving, which is a positive sign
Avoid starting medications without identifying the cause, as that may delay proper diagnosis.
Practical advice
Avoid outside and processed foods temporarily
Maintain a simple, clean diet
Monitor weight weekly
Do not ignore the rash; it is a useful diagnostic clue
Regards
Dr jyoti Kadkol
Health Global Homoeopathy, Vijaynagar, Whitefield.Bangalore
www.healrthglobalclinics.com
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
It seems that you are undergoing a lot of physical health issues.
It needs to be addressed asap otherwise it may get complicated and can affect your personal and social life.
It can be well treated with homeopathic medicine effectively and without any side effects.
It needs to be treated in a holistic approach for complete recovery.
You need an expert Homeopathic physician.
Next Steps
I have been working as a Homeopathic doctor for the last 17 years of experience. You can contact me through an online appointment for further assistance.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Thanks for the information,, now try to connect online with me and with further talk and proper case taking will give you a proper Homoeopathic treatment and your issue will be resolved definitely And you will be more satisfied then....
Appointment timing,..➡️ Monday to Friday from 11 am to 2 pm in day and 4 pm to 8 pm at evening...
Further you can connect on WhatsApp.. Seven nine eight seven four two nine six four one..stay healthy and safe 👍🏻😊.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
What about ESR, CRP ?
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult online
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
There are many other infections which can cause such symptoms.
Also stress, tension, any major setbacks in life, major events in life can cause physical illnesses.
Need complete details and history.
You can consult online.
Contact me on
Nine four two seven eight seven seven six nine nine
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
100 percent chances of getting cured
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
This complex presentation—specifically the combination of elevated liver enzymes (transaminitis) and persistent eosinophilia (high eosinophil count)—is a significant clinical clue. While many standard tests (Hepatitis, USG, X-ray) have come back clear, the persistent symptoms and the specific nature of the lab results suggest a few avenues that may require specialized investigation.
The following possibilities are often considered when liver involvement and high eosinophils occur together:
1. Parasitic Infections (Helminthic)
In many regions, parasitic infections are a leading cause of the "liver + eosinophilia" signature. Certain parasites migrate through the liver or reside in the bile ducts, causing inflammation and spikes in SGPT/SGOT.
Liver Flukes (e.g., Fascioliasis): These can cause abdominal pain, fever, weight loss, and liver enzyme elevations.
Strongyloidiasis or Ascariasis: These parasites can cause "Loeffler’s syndrome" (chest pressure/cough) during their lung migration phase and abdominal symptoms later.
Suggestion: Discuss a "Stool for Ova and Parasites" test (often required 3 times on different days for accuracy) or specific serology (blood tests) for parasites with a specialist.
2. Eosinophilic Gastrointestinal Disorders (EGID)
Since your USG and basic blood work are clear, the issue might be at the microscopic level within the tissue.
Eosinophilic Gastritis/Enteritis: This occurs when eosinophils infiltrate the lining of the stomach or intestines. It can cause the "sounds in the abdomen," loss of appetite, weight loss, and recurrent abdominal pain you described.
Suggestion: A gastroenterologist might suggest an endoscopy or colonoscopy with biopsies to look for eosinophil infiltration, even if the tissue looks "normal" to the naked eye.
3. Drug-Induced Liver Injury (DILI) with Hypersensitivity
Even if you do not smoke or drink, certain over-the-counter supplements, herbal remedies, or common medications (like NSAIDs for joint pain) can cause a hypersensitivity reaction in the liver. This often presents with a rash and high eosinophils.
4. Systemic Conditions (Vasculitis or Autoimmune)
The "blanching rash" on the feet combined with joint pain and chest pressure could point toward systemic inflammation.
EGPA (formerly Churg-Strauss): A rare condition characterized by eosinophil-rich inflammation of blood vessels. It often involves the lungs (chest pain) and skin (rashes).
Suggestion: Consult an Immunologist or Rheumatologist to check for markers of vasculitis or systemic autoimmune issues.
Next Steps
Specialist Consultation: If you haven't already, see a Gastroenterologist/Hepatologist and an Infectious Disease Specialist.
Additional Blood Work: Ask about a Peripheral Blood Smear (to look at the shape of the eosinophils) and Total IgE levels.
Health Tips
For further evaluation consult online with Dr Tanmay Palsule
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consultant me on practo....i will give you proper diagnosis, treatment and precautions
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need proper case taking for this contact for that on 916702500one or on practo instant consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need proper report And detailed history. Consult online
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need reports and symptoms
Only then can be able to diagnosis
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
These all becoz of fatty liver ..
U can contact me online...
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your condition needs deeper evaluation.
The combination of elevated liver enzymes, eosinophilia, skin rash, and systemic symptoms (weight loss, joint pains) suggests that this is not just a simple liver issue, but a systemic disturbance in the body.
Possible underlying causes-
Based on your symptoms, it may be due to:
Hidden parasitic infection (commonly missed in routine tests)
Allergic or hypersensitivity reaction
Less commonly, an autoimmune or inflammatory condition.
Important symptom to note
The persistent non-blanching rash under the feet is significant and should not be ignored, as it may indicate deeper pathology.
Recommended investigations (if not fully done)
CBC with Absolute Eosinophil Count
Stool examination (3 consecutive samples)
Serum IgE levels
ESR, CRP
Repeat Liver Function Test
Homeopathy does not treat reports alone, but the individual as a whole.
Your physical symptoms along with general health, past history, and mental/emotional state will help in selecting the most suitable remedy.
Avoid self-medication
Please do not take over-the-counter or random homeopathic medicines, as improper remedy selection may delay recovery.
Next Steps
I recommend a detailed consultation with a qualified homeopathic physician for accurate remedy selection and follow-up.
Health Tips
Take light, easily digestible diet
Avoid oily, spicy, and outside food
Maintain good hygiene
Stay well hydrated
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hai,
Your symptomatology suits dyspepsia and raised eosinophills are due to allergic rhinitis.
Raised SGOT/SGPT/bilirubin is a precausor of fatty liver ( may be hereditary ). These symptoms are signals from our body.
Better to take Homoeopathic tratment and adopt proper diet/ exercise plan than going behind diagnosis.
Next Steps
You can easily take an online consultation book video consultation for further treatment guidance.
Health Tips
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hi Practo user it could be due to parasitic infestation too
Will need more details of the case
You can easily take an online consultation for personalised treatment Or click on the calling option over my profile on Practo
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Based on the details you’ve shared, this appears to be a chronic, systemic issue rather than a single isolated liver problem. The combination of elevated liver enzymes (SGPT/SGOT), fluctuating eosinophil levels, persistent digestive symptoms, weight loss, skin manifestations, and joint pains suggests an underlying imbalance that may not always be detected in routine investigations.
In such cases, commonly associated causes can include:
• Chronic allergic or parasitic tendencies (linked with eosinophilia)
• Functional liver disturbance
• Autoimmune or inflammatory conditions
• Gut-related disorders affecting absorption and immunity
Since your reports are largely normal but symptoms persist for several months, it is important to treat the case holistically rather than focusing only on lab values.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
●𝗬𝗲𝘀 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 .
●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰
●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳.
●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲 𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Rajshree
Homoeopath
4 yrs exp
Patna
If you get proper heel so I suggest you contact me on my no. I give you a guarantee you clearly get well soon.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Surya Pratap Patel
Homoeopath
5 yrs exp
Jaunpur
Aapke liver enzymes pehle thode high the (SGPT 158, SGOT 50, bilirubin 1.6), lekin ab SGPT 43 tak aa gaya hai. Ye actually achha sign hai, iska matlab liver injury progressive nahi thi aur recovery ho rahi hai. Hepatitis B/C, USG abdomen, thyroid, sugar, kidney, ECG sab normal hain—isse major liver disease ya structural problem ka chance bahut kam ho jata hai.
Ab jo main clue hai wo hai eosinophils ka 12% tak jana aur phir 4–7% ke beech fluctuate karna. Ye usually in cheezon me hota hai:
Hidden parasitic / intestinal infection (stool test normal hone ke baad bhi ho sakta hai)
Allergy / hypersensitivity (food, environment ya unknown trigger)
Chronic low-grade inflammation
Kabhi-kabhi gut related eosinophilic disorder ya functional gut issues
Aapke symptoms ka pattern bhi important hai:
Abdominal discomfort, bloating, appetite loss
Chest discomfort / pressure
Body pain (joints, heel, back, scapula, throat)
Symptoms ka 5 months se fluctuate karna
Tests ka mostly normal aana
Ye combination often suggest karta hai ki problem ek single organ me nahi, balki gut–immune system interaction ya functional inflammatory state me ho sakta hai. Isme stress-gut axis, food sensitivity ya post-infectious gut irritation bhi role play kar sakta hai.
Is stage pe focus hona chahiye “aur tests repeat karne” se zyada targeted evaluation par, jaise:
Stool test (multiple samples) for parasites
Serum IgE (allergy marker)
Vitamin B12, iron, ferritin
ESR/CRP (inflammation markers)
Agar symptoms persist karein to gastroenterology evaluation for functional dyspepsia / eosinophilic GI condition
Overall picture se lagta hai ki koi dangerous disease ka strong evidence nahi hai, but body me ek persistent trigger ya hypersensitivity/inflammation state chal rahi hai, jisko systematically identify karna hoga.
Agar chaho to main aapke case ko aur deeply pattern-wise analyze karke exact most likely diagnosis direction aur step-by-step management plan bhi bata sakta hoon.
Aap chahein to detailed consultation ke liye connect kar sakte hain, jisse hum symptoms + reports ko ek saath correlate karke clear direction nikal sakein.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.