Dear dr. My sgpt is 240 and sgot is 150. Before one year my sgpt was 120 and sgot was 70. Why it is increasing. I have restricted my deit and using boiled food. Please tell me if it is serious. What should I do..??

Hi Puneet, Every time i eat something i have this inflammatory sensation in my throat that's kind of very uncomfortable. I cannot eat spicy food at all these days. Every time i eat junk food like burgers or Pizza or KFC, i end up having problem with my stomach (stomach upset mostly). This problem started since 2010 when i was doing night shifts for my company. There was a time when i did graveyard shift for 3 consecutive weeks. I stopped doing night shifts after i had problems with my stomach. I have a very tough time in finding food of my taste here. I generally prefer salads and bland food. Fruits rich in alkaline level tend to help me a lot. I'm not married yet, so its very difficult for me to find such food everywhere especially at my workplace. I consume alcohol every weekend but next day morning i end up having acidity. So i have to take ENO (fruit salt) to feel better. This has been the case since 3 years now. The only food which suits me is Bland food and fruits (especially the ones rich in alkaline level). I would really appreciate your help with this. Thanks!

Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Started taking Dolonex 07 for tooth ache. Blood Pressure when cheked is 150/90. Is it because of this medicine? My usual BP was 120/80.

my bilirubin (total) is found 0.97 mg/dl, bilirubin direct is found 0.33 mg/dl, SGOT is found 41 iu/l, SGPT is found 80.9 iu/l, alkaline phosphatase is found 101 iu/l & albumin is found 4.2 gm/dl after going through a liver functioning test. I am very much worried about the SGPT count which came abnormal. i do not take regular alcohol, but i do take some medicines like norflox tz or ciprowin tz whenever i came across stomach upsets. Sir, please suggest me what should i do now and shall it be dangerous that the count came abnormal? please help.

Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das