Pregnant. Taking Nidagen, Omical and folic acid. High SGPT and SGOT. What do we need to do?
Patient: Dear Dr, my wife is 8 months pregnant(weight 60, height 5 ft 4 inch, phyisically healthy). currently taking nidagen 200, omical forte, folic acid , hamfer, alamin-m forte from last 4 months. heamoglobin is 11.5 but this week her SGOT and SGPT are 219, 298 (5-40 for normal) respectivelly. also serum biliribin detetcted 1.7 (0.2-1.0 for normal) kindly suggest what do we need to do ? Doctor: Hi,Thanks for Healthcaremagic,Your wife is pregnant 8 months and developed elevation of SGOT/SGPT and serum bilirubin.This could be due to viral hepatitis,other causes are Acute fatty liver of pregnancy,HELLP syndrome,Viral hepatitis, & Autoimmune hepatitisYou should see your Gastroenterologist  and Gynecologist to diagnose the cause of the elevation of liver enzymes and treat them as early as possible.Take rest and get Ultrasonography of abdomen to know the condition of Liver.Treatment depends on cause but rest hepato protective drugs and if any viral hepatitis is detected specific treatment is required.You can continue your vitamin supplements and regarding progesterone supplement discuss with Gynecologist.Hope this information helps you.Take care.Good Luck.Dr.Akhilesh Dubey M.D.