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Gastrointestinal Disorders
Question #22006
201 days ago
663

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

Age: 67
Chronic illnesses: 3 C-sections
PAID
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Doctors' responses

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 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.
201 days ago
5

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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Dr. Prasad Pentakota
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.
201 days ago
5

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

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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.

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

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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

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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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I am currently a PG 2nd yr student in the dept of Shalakya Tantra at Parul Institute of Ayurveda and Research, batch 2024. I joined right after UG—no break—straight into PG (regular batch). I did my undergrad from Rajiv Gandhi Ayurveda Medical College (2017 batch, CCRAS syllabus under Pondicherry Univ). Somehow managed to secure 2nd rank university-wide back then, which I didn’t totally expect. Right now, my core interest lies in the Ayurvedic and integrative management of eye disorders. I’ve got decent exposure to both classical texts and clinical practice. From anatomy to pathology, I try to stay grounded in both the traditional Ayurvedic view and also the modern opthalmic understanding, especially with conditions related to the cornea, retina, and anterior segment. During PG deputation in 2nd year, I handled like 200+ OPD patients daily within 1–2 hrs (felt crazy at first but got used to the pace). I’m also trained hands-on in cataract and cornea surgeries under supervision. Not calling myself a surgeon yet, but I did get a good amout of surgical exposure in the PG postings. In terms of academics, I got 82% in the first-year PG exams—distinction score—secured department 1st and university topper at Parul Institute. Sometimes I do wonder if all this speed actually lets me go deep into each case but I’m learning to balance efficiency with proper patient care. Honestly I think that’s the biggest challenge in clinical ayurveda today—staying rooted in shastra while also being practically useful in today's overloaded OPDs. Anyway, still got a lot to learn, but I try to show up with clarity, humility and the will to keep improving every day.
5
214 reviews
Dr. Nisha Bisht
I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.
5
285 reviews
Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
134 reviews

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