What causes high level of SGPT and SGOT after H pylori infection?
Patient: i had H. Pylori infection and had erosive gastritis detected in December, 2010. i took antibiotic as per doctor's advice for eradication of h pylori. but now my recent blood test (in october) shows sgot 40 and sgpt 70, total bilirubin 1.1 and others normal. tests for hepatitis B & C is negative. what may be the probable cause of high sgot, sgpt. kindly also advice for follow up action. Doctor: Hi, I hope you are well, studying the elevation of liver enzymes is very important. Viral infectious causes such as hepatitis B and C should be initially ruled out. In addition, certain metabolic and autoimmune diseases must be pursued intentionally. In your case, the association of drug-induced liver damage should be sought, since your HP eradication regimen probably includes amoxicillin and clarithromycin, which can cause liver enzyme abnormalities. In any case, this is a diagnosis of exclusion, and should be evaluated narrowly over time.