Discussions By Condition: I cannot get a diagnosis.

please give your opinion

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: Anonymous
  • May 10, 2008
  • 11:08 AM

recently i had test for serum sgpt/alt and urine re/me
i mam sending you my reports .tell me please what is wrong with me?
my sgpt/alt is 91 u/l normal values are 0.00-49
and my microscopic urine examination suggests that i have 1-2 pus cells /hpf
and 3-4 epithelial cells /hpf
i have been taking antidepressant for last three year .because i was diagnosed with depression and anxiety .and i still feel anxiety although i take antidepressant and tranquilizer regularly.is high SGPT related with mental problem???these test were advised by a psychiatrist. please tell me what may my problem???
thank you

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3 Replies:

  • I would suggest that you discuss your concerns with an Internist to determine what is causing your elevated blood/urine levels. Make certain that you get tested for chlamydia and other STDs that might be causing the pus in your urine. You have a bladder infection or kidney infection and need antibiotics, along with a STD, I think. It would also appear that you need to get tested for hepatitis and mono. That can be a source of your depression-- not feeling well. http://www.netwellness.org/question.cfm/49315.htm
    Monsterlove 2921 Replies Flag this Response
  • helloi am a physician on residency training with internal medicinein my own opinion, according to your lab results, you liver enzyme (SGPT/ALT) is elevated, and you have urinary tract infection.1. elevated liver enzymes could be due to the anti-anxiety drugs that you are taking. majority of these group of drugs are metabolized in the liver. that is why, careful monitoring of your liver function is necessary. i would suggest that you come back to your psychiatrist so that he can make necessary dose adjustments or changes to your medications. Another explanation to your elevated SGPT/ALT is the possibility of you being an alcoholic drinker and you've been drinking the past few days prior to blood extraction for your laboratory examination2. urinary tract infection. ideally, your urine should not contain pus cells. if this is associated with fever, urinary changes (painful urination, increase frequency of urination, etc) and sometimes chills. if you have these symptoms, then antibiotic therapy is warranted. if you do not have the symptoms, then there is no indication for antibiotic use.i hope i have helped you a little bit
    Anonymous 42789 Replies Flag this Response
  • Anonymous 42789 Replies
    • December 2, 2010
    • 09:35 PM
    • 0
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