Hepatitis A Does Not Go Away?
At noon doctor, I was diagnosed with hepatitis A since 26 June 2018, with 2800 sgpt and 2500. I was hospitalized for 6 days and after that I was at home until now. On July 9, 2018 my sgpt and sgot had decreased to 100s and 50s and bilirubin to 4, the itching started to decrease. But on the 7th of August night I felt nauseous, had a stomach and had a sore heart, I was suspicious. The next day I checked sgpt and sgot, it turned out that the results did indeed go up, as soon as I became 955 and my sgot was 500 and felt my body was more yellow and itchy in my body came back. What caused this? Is it my diet that is wrong, because I sometimes stubbornly eat fatty foods.
Hello, Tariq Salam, thank you for asking HealthReplies.com.
SGOT (AST) and SGPT (ALT) are enzymes commonly used to measure liver function. SGOT can be found in the liver, heart, muscles, brain and kidneys. Meanwhile, SGPT can mostly be found in the liver. The normal level of AST in the blood is around 5-40 U / Liter and SGPT is 7-56 U / Liter. An increase in these enzymes in the blood indicates an injury or disturbance to the organs where this enzyme is found. Possible causes for an increase in these enzymes are:
1. Viral hepatitis
2. Steatohepatitis / fatty liver
3. Drugs such as aspirin, paracetamol, diclofenac sodium, ibuprofen, anti-seizures, certain antibiotics, statins, anti-depressants, and some heart medications.
4. Muscle injury
5. Critical conditions such as shock
6. Other liver disorders: autoimmune diseases, genetics, toxins, etc.
Even so, for diagnosis of certain diseases, it is not only possible to see an increase in liver enzyme levels. There is a lot of data that must be completed, such as data on symptoms and history of disease, physical examination, and other supporting examinations, for example ultrasound, other liver function tests, complete blood tests, hepatitis virus antibody tests, etc.
So, you should check with your doctor so you can find out the exact cause. In addition to seeing your doctor, you must also prevent severity by getting enough rest, adequate daily fluid and nutritional needs, avoiding drinking alcohol and smoking, limiting fatty foods, and not taking medicines that are not prescribed by the doctor.
That's all, hopefully it's useful.
Greetings, dr. Sarah Rizqia