Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my sgpt is 625, im 155lbs, i dont drink nor smoke, i feel pain at my high abdomen and mostly every morning i feel pain in my lower abdomen that its difficult for me to get up/out of bed, but a few minutes after getting out of bed the pain is gone...what should i do to normalize my sgpt level and to get rid of the morning pain plus the upper abdomen pain?
[|AI|]  Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Ala nine transaminase or SGPT level is extremely increased.2. Liver injury commonly causes it. A correlation with GOT ratio and alkaline phosphatase level necessary to evaluate for injury or any obstructive cause.3. Liver biopsy would be necessary to evaluate various causes of liver injury from infection, inflammation or benign fatty change. Ultrasound abdomen to identify localized cause is necessary.4. Level is more than 15 times high, and needs to be seriously evaluated. Early morning stretching of the capsule due to fatty liver, could because of early morning pain and upper abdomen pain. Further investigations and lab reports necessary for further opinion. Hope it helps. Any further queries, happy to help again.