Should You See a Doctor for Mild Liver Function Abnormalities? - Gastroenterology and Hepatology

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When it comes to mild liver function abnormalities, such as slightly elevated liver enzymes like SGOT (AST) and SGPT (ALT), it is essential to approach the situation with caution and informed decision-making. In your case, with SGOT at 20 and SGPT at 42.3, while these values are only mildly elevated, they do warrant attention, especially considering your age and lifestyle factors.

Firstly, it is crucial to understand what liver enzymes indicate. SGOT and SGPT are enzymes that help assess liver health. Elevated levels can suggest liver inflammation or damage, but they do not provide a definitive diagnosis on their own. Various factors can contribute to elevated liver enzymes, including viral hepatitis, alcohol consumption, obesity, certain medications, and even lifestyle factors such as diet and exercise.

Given that you mentioned being in the ninth grade and possibly having irregular sleep patterns, these lifestyle factors can also impact liver health. Lack of sleep, poor diet, and stress can contribute to liver dysfunction. Additionally, since you are negative for Hepatitis B surface antigen and surface antibody, it suggests that you do not currently have an active Hepatitis B infection, which is a positive sign.

However, it is advisable to consult with a healthcare professional, preferably a gastroenterologist or hepatologist, for a thorough evaluation. They may recommend further tests, such as imaging studies (like an ultrasound) or additional blood tests, to rule out any underlying conditions that could be causing the enzyme elevation. A comprehensive assessment will help determine whether there is an underlying issue that needs to be addressed.

In terms of treatment, if the liver function abnormalities are indeed mild and there are no other concerning symptoms (such as jaundice, abdominal pain, or significant fatigue), your doctor may suggest lifestyle modifications first. This could include dietary changes, increasing physical activity, and ensuring adequate sleep. These changes can significantly improve liver health and enzyme levels over time.

If your doctor finds that the liver enzyme elevation is due to a specific condition, they will tailor the treatment accordingly. This could involve medication, lifestyle changes, or monitoring the condition over time.

In conclusion, while your liver enzyme levels are only mildly elevated, it is prudent to seek medical advice. A healthcare professional can provide personalized recommendations based on your overall health, lifestyle, and any other symptoms you may be experiencing. Early intervention can prevent potential complications and promote better liver health in the long run.