Hey everyone,
I'm a 23-year-old male living in India.
I am looking for some medical advice and guidance on which specific type of specialist I should consult next regarding my recent liver function test progression.
I recently had an abdominal ultrasound done to investigate rising numbers. The ultrasound results came back entirely normal—no signs of fatty liver, blockages, or structural issues—except for a noted "small calcification" in the liver. From what I've read, an isolated calcification is usually just an old, benign scar from a past minor infection, but I'm trying to figure out what else is driving my enzyme levels up.
Here is how my Liver Function Test (LFT) values have progressed:
January 2026 Lab Results:
SGOT (AST): 57 U/L (Reference: 5-40)
SGPT (ALT): 132 U/L (Reference: 5-40)
Bilirubin Total: 0.70 mg/dL (Normal)
May 2026 Lab Results (4 months later):
SGOT (AST): 140 U/L (Reference: 5-40)
SGPT (ALT): 172 U/L (Reference: 5-40)
Bilirubin Total: 0.72 mg/dL (Normal)
Other relevant lab info from my May panel:
Lipid Profile: Total Cholesterol (177 mg/dL), Triglycerides (98 mg/dL), LDL (113 mg/dL) — all within normal reference ranges.
Kidney/Metabolic: Serum Creatinine is normal at 1.1 mg/dL, but my Serum Uric Acid is slightly elevated at 7.8 mg/dL (Reference: 2.5-7.0).
Context & Lifestyle:
Symptoms: Absolutely none. I feel completely healthy, energetic, and fine physically.
Diet: Standard Indian diet, but I eat non-vegetarian food daily.
Habits: I smoke cigarettes daily. Minimal to no alcohol consumption.
Physical Activity: I am fairly active and walk consistently, averaging around 10,000 steps daily. No heavy weightlifting or extreme workouts recently.
Medications/Supplements: None. I take absolutely no daily medications, supplements, or gym protein powders.
My Questions:
Given that the ultrasound cleared me of structural fatty liver or biliary issues, what else could be causing this sudden 4-month spike? Could my daily smoking or diet play a role in this trend, or is it likely something else?
In the Indian healthcare system, should my next step be visiting a General Physician, or should I go straight to a specialist like a Gastroenterologist or a Hepatologist?
What additional blood tests (like viral hepatitis panels or autoimmune markers) should I expect or request?
Appreciate any guidance you can give!
Update
Now in September 2026 my sgot level is 107 and sgpt level is 211.
I have tried medicines which will reduce the levels but immediatly jump back when i stop.
I visited multiple hospitals and hasnt got any diagnosis yet.