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Gastrointestinal Disorders
प्रश्न #22006
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Elevated SGPT/ALT - #22006

Alissar

I am 67 years old female. While I was doing a routine blood work to find out that my SGPT IS 97 and SGOT is 47. I also have anemia my hematocrit is 33 and hemoglobin is 11.1 What can I do in this case

आयु: 67
पुरानी बीमारियाँ: 3 C-sections
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डॉक्टरों की प्रतिक्रियाएं

Thank you for reaching out and sharing your health concerns. At 67, it’s wonderful that you’re proactively monitoring your health. From your reports, I understand that: • SGPT (ALT) is at 97 and SGOT (AST) is at 47 – indicating mild to moderate liver stress or inflammation. Hemoglobin is 11.1 g/dL, and hematocrit is 33%, which points toward mild anemia.

Let me first reassure you: both of these issues can be managed naturally, especially when we support the body gently and holistically, as we do in Ayurveda.

In Ayurveda, the liver (Yakrit) is the seat of Ranjaka Pitta, the sub-dosha responsible for blood formation and transformation. When Pitta becomes aggravated—due to improper diet, chemical exposure (like medications), or emotional stress—it affects both the liver’s ability to detoxify and its role in blood building, which could explain both your elevated liver enzymes and anemia.

Also, low Agni (digestive fire) and Dhatukshaya (tissue depletion) are common in older age, leading to weakened Rasadhatu and Raktadhatu, which are responsible for nutrient absorption and healthy blood We will aim to: 1. Strengthen and soothe the liver 2. Rebuild healthy blood (Rakta dhatu) 3. Support digestion and nutrient absorption • Bhumi Amla (Phyllanthus niruri): Excellent for reducing SGPT/SGOT and healing liver tissues. • Take 1 tsp juice or 500 mg capsule twice daily after meals. • Guduchi (Tinospora cordifolia): A rejuvenative herb that detoxifies liver and boosts immunity. • Use 1 tsp Guduchi churna or 500 mg capsule daily. • Kalmegh (Andrographis paniculata): A potent liver cleanser—can be taken as tablet or decoction under guidance. • Arogyavardhini Vati: A classical Ayurvedic formulation for liver health. Take 1 tablet twice daily after food, under supervision. • Avoid oily, fried, heavy, spicy foods. • Favor light, warm, easily digestible foods like: • Mung dal khichdi • Steamed vegetables • Warm cumin-coriander-fennel water • Include bitter and liver-cleansing foods: • Lauki (bottle gourd), neem, methi leaves, turmeric • Use cow ghee in small amounts – it nourishes and cools the liver. • Sleep early (by 10 PM), as liver rejuvenates at night. • Do gentle walking after meals to support metabolism. • Practice gentle Pranayama: especially Sheetali and Nadi Shodhana. • Draksha (black raisins): Soak 10–15 overnight and eat in the morning. • Beetroot juice with a pinch of rock salt – strengthens blood and improves iron. • Pomegranate (Anar) – daily consumption is beneficial for both blood and liver. • Amla juice – take 10 ml daily with water to boost iron absorption • Punarnava Mandur – for anemia, edema, and liver support • Lauh Bhasma or Navayasa Lauh – classical iron preparations; to be used carefully under supervision • Dhatri Lauh – gentle and nourishing iron tonic

Note: Always combine iron-rich foods with vitamin C (like lemon, amla) to improve absorption. Poor digestion in elderly age can be a hidden cause of anemia even if you eat well. • Take Hingvastak churna or Trikatu churna before meals (¼ tsp with warm water). • Sip jeera-coriander-fennel water throughout the day. • Avoid cold, dry, and raw foods that may suppress Agni.

If you can visit a good Ayurvedic center, therapies like Basti (medicated enema), Abhyanga (oil massage), and Pizhichil or Takradhara (for Pitta calming) can rejuvenate the liver, strengthen immunity, and improve overall health At 67, your body is wise, but it needs gentle care now. These imbalances are your body’s way of asking for better alignment. With the healing power of Ayurveda, supported by the right food, herbs, and lifestyle, your liver can recover and your blood can be nourished again.

Please be patient, loving, and consistent with these practices. I also recommend periodic monitoring of your blood levels to watch your healing progress.

If you’d like, I’d be happy to create a customized daily routine and meal plan for you based on your Prakriti (body constitution) and other symptoms.

Wishing you vibrant health, peaceful energy, and many more joyful years ahead.

With warm regards and healing blessings, Dr. M. Sushma Ayurvedic Doctor | Holistic Wellness Expert

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Tab. Arogya vardhini vati 1-0-1 Tab. Panchatilkta ghrita guggul 1-0-1 Syp. Liv 52 10-0-10ml

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Tab Liv 52 - Tab Punarnava mandoora- 1 tab twice daily after food with lukewarm water Include dates dried grapes spinach pomegranate beetroot in your diet Avoid oily spicy foods Do regular walking Once get us scan done

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Dr. Harshita Hyati
I have gained comprehensive clinical experience through my internship and professional duties, which has laid a strong foundation for my medical practice. During my internship, I worked extensively across multiple departments, including casualty, general medicine, general surgery, and obstetrics & gynecology at the Government District Hospital, Gadag. This exposure allowed me to handle a variety of acute and chronic cases, sharpen my clinical assessment skills, and actively participate in patient management under the guidance of senior medical professionals. Following this, I served as a duty doctor at AYUSH Hospital, Gadag Betgeri, where I applied my Ayurvedic knowledge in a clinical setting and contributed to patient care in both outpatient and inpatient departments. I successfully completed 366 days of rigorous internship training at DGM Ayurvedic Medical College and Hospital, Gadag, where I was involved in patient evaluation, diagnosis, and treatment planning under supervision. My time there allowed me to integrate classical Ayurvedic principles with practical patient care while developing a keen understanding of hospital operations and multidisciplinary collaboration. These experiences have enhanced my ability to handle diverse medical conditions confidently while maintaining a patient-centered approach. I am dedicated to continuing my journey as an Ayurvedic practitioner with the same passion and commitment, focusing on delivering quality, evidence-based, and holistic healthcare.
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Liv 52 1-0-1

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Include beetroot, pomegranate, spinach, lauki, apple juice daily one of them in your routine Use nachani / Ragi atta in your diet Take Liv-52-Ds 1-0-1, Punarnava Mandoor 1-0-0, both after food with water. Avipattikar tablet 1-0-1, after food with water

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I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
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Your liver parameters are not that much deranged to start any medication Hemoglobin Also is within normal range. For this also medication not needed. Diet management will be sufficient Avoid oily spicy cold foods Eat fruits

4058 उत्तरित प्रश्न
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Divya hemoghrit vital=1-1 tab Divya livogrit vital=1-1 tab twice daily before meals twice daily

Take pomegranate/beetroot/spinach/gajar juice regularly

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Alissar ji,Your SGPT is moderately elevated, suggesting fatty liver, due to medication effect( do you face any other bodily or digestion compains???,or it can be age-related liver stress. Ayurvedic Liver medication -

1.Liv 52 DS (Himalaya) – 1 tab twice daily after meals

2.bhumi amla 1-0-1 available in capsules 3.Arogyavardhini Vati – 2-0-2tab

Diet Tips-Avoid fried foods, red meat, excess sugar. Eat: Beetroot, carrots, amla (Indian gooseberry), papaya, apples

Dates, jaggery, pomegranate, beetroot

Iron-rich leafy greens (spinach, moringa)

##Plenty of warm water ##Include a 30min to 1hr walk daily after meal.

881 उत्तरित प्रश्न
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0 उत्तर

Liv52 1BD Arogyavardhini vati 1BD Punarnavadi mandoor 1BD Trigoldasav 15ml with lukewarm water

40 उत्तरित प्रश्न
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Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Cap.Amlycure DS 1-0-1

3625 उत्तरित प्रश्न
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0 उत्तर

Take Kalmegh kwath 20-30 ml empty stomach Arogyavardhini vati 1-0-1

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Hii Alissar, Its good to see that you monitoring your health often. But here the values of sgpt and sgopt are only slightly high, may be i think it may an indication of some kind of issues on liver function either due to medications or diet and habits u follow regularly. U dnt need have much worry. But you can take under control of this with some restrictions on diet and with mild medications. To avoid Fried food, excess oil, spicy food, alcohol (if any),refined sugar, packed foods,heavy foods To do Warm water with 2 to 3 drops of lemon in the morning (gentle detox). Green leafy vegetables, bitter gourd, bottle gourd, Homemade buttermilk with roasted cumin and rock salt after meals Meds Livokot 1BD before food Arogyavardhini vati 1BD after food For Hb, Hematocrit Due to age factor it may be common for this kind of values.and also its not that much low may Due to lower absorption levels it may happens. To do Take Beetroot, dates, black sesame seeds, soaked raisins, and pomegranate, figs, ragi, millets items Cook in iron utensils (like iron kadai) to enhance natural iron in food. To Avoid Tea/coffee near mealtime, as it blocks iron absorption. Meds Loha sinduram 1BD before food Punarnava manduram 1BD after food Draksharistam 20ml BD after food

I think you get a solution for ur concern Thank you Happy and healthy life

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Hello Alissar

NO NEED TO WORRY

• SGPT Moderately Elevated is Clinically Significant

• Rest All Parameters due to Age Medicine Fatty Liver Cholestrol sedentary lifestyle related Effects

• ALL IN ONE BEST EFFECTIVE AYURVEDIC MEDICINE

Cap.Cytozen ( Charak Pharma) 1 -0- 1 After Food

• DO’S - Drink Plenty of Water Fluids Fibers Juices intake.Prefer Alkaline Nutritious Leafy Vegetables Fruits salads sprouts Fibers etc.Mild Mobility Exercise walking Dhyan Meditation Increase Apple Pomegranate Ragi Beet Palak Carrot etc

• DON’TS - Avoid Acidic Spicy Salty Sour Masala Fried Fast Juck Foods

REGARDS

Dr Arun Desai

If you have any questions u can ask me.I will answer to the level of your satisfaction.

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It sounds like there’s a few things going on here with your liver enzymes (SGPT and SGOT) being elevated, and also your anemia. In Ayurveda, liver health is often linked to Pitta dosha, and an imbalance might be present. The liver acts as a key Pitta organ and its imbalance can manifest in varied ways including increased SGPT/SGOT.

You can start by focusing on a Pitta-pacifying diet, as it helps in balancing the liver. Try to include more cooling and hydrating foods like cucumbers, watermelon, and leafy greens in your diet. Avoid excessive spicy, salty or oily foods which can aggravate the Pitta dosha. Drinking coconut water regularly can also have a cooling effect on the liver.

Anemia in Ayurveda is closely associated with low Agni or digestive fire, impacting the assimilation and transformation of nutrients. It’s important to enhance Agni by consuming easily digestible, nourishing meals. Consider incorporating iron-rich Ayurvedic herbs like Triphala - it not only helps with constipation which can accompany anemia, but also enhances iron absorption.

For your liver, an herb like Guduchi (Tinospora cordifolia) is beneficial due to its hepatoprotective properties, you might consult with an Ayurvedic practitioner to get the right dosage.

Apart from diet, practice yoga postures like Matsyasana (Fish pose) and Supta Baddha Konasana (Reclining Bound Angle pose) which are supportive of liver and digestive health, without overdoing it. Ensure you’re keeping a regular sleep schedule too, as this is crucial for liver restoration.

However, considering your age and the possible seriousness of these laboratory findings, it’s absolutely necessary to work with your primary healthcare provider alongside these Ayurvedic recommendations—it ensures that any underlying health condition receive appropriate attention. Safe to say, combining conventional care with these natural approaches could be beneficial for a well-rounded treatment.

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Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
728 समीक्षाएँ
Dr. Rajan soni
I am working in Ayurveda field from some time now, started out as a general physician at Chauhan Ayurveda Hospital in Noida. That place taught me a lot—how to handle different types of patients in OPD, those daily cases like fever, digestion issues, body pain... but also chronic stuff which keeps coming back. After that I moved to Instant Aushadhalya—an online Ayurveda hospital setup. Whole different space. Consultations online ain’t easy at first—no pulse reading, no direct Nadi check—but you learn to ask the right things, look at patient’s tone, habit patterns, timing of symptoms... and yeah it actually works, sometimes even better than in person. Right now I’m working as an Ayurveda consultant at Digvijayam Clinic where I’m focusing more on individualised care. Most ppl come here with stress-related problems, digestion issues, joint pain, that kind of mix. I go by classic diagnosis principles like prakriti analysis, dosha imbalance and all, but also mix in what I learned from modern side—like understanding their lifestyle triggers, screen time, sleep cycles, food gaps n stress patterns. I don’t rush into panchakarma or heavy medicines unless it’s needed... prefer starting with simple herbs, diet change, basic daily routine correction. If things demand, then I go stepwise into Shodhan therapies. My goal is to not just “treat” but to help ppl know what’s happening in their body and why its reacting like that. That awareness kinda becomes half the cure already. Not everything is perfect. Sometimes ppl don’t follow what you say, sometimes results are slow, and yeah that gets to you. But this path feels honest. It’s slow, grounded, and meaningful.
5
36 समीक्षाएँ
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
1141 समीक्षाएँ
Dr. Nayan Wale
I am working in medical field for total 7 years, out of which around 4 years was in hospital setup and 3 years in clinic practice. Hospital work gave me strong base, long duty hours, different type of cases, emergencies sometimes, and learning under pressure. Clinic work is different, slower but deeper, where I sit with patients, listen more, explain things again n again, and follow them over time. In hospital I handled day to day OPD cases, routine management, and also assisted seniors when things got complicated. That phase shaped my clinical thinking a lot, even now I sometimes catch myself thinking like hospital mode when a case looks serious. Clinic practice on the other hand taught me patience. Patients come with chronic issues, expectations, doubts, sometimes fear, and I had to adjust my approach accordingly. I focus on practical treatment planning, not just diagnosis on paper. Some days I feel I should have more time with each patient, but I try to balance it. My experience across hospital and clinic helps me understand both acute care and long term disease management. I still keep learning everyday, reading, observing patterns, correcting myself when needed, because medicine never stays same for long, and neither should the doctor.
5
3 समीक्षाएँ

नवीनतम समीक्षाएँ

Christian
18 मिनटों पहले
Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
Hailey
2 घंटे पहले
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Dylan
4 घंटे पहले
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Landon
5 घंटे पहले
Thanks a ton for the clear, detailed advice! Feel more confident managing these symptoms now. Appreciate the practical tips!
Thanks a ton for the clear, detailed advice! Feel more confident managing these symptoms now. Appreciate the practical tips!