Gastrointestinal Disorders
Question #22006
11 days ago
138

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
Feelings fatigued
300 INR (~3.53 USD)
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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
Accepted response

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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.
11 days ago
5
Liv 52 1-0-1

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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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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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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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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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