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Jaundice, high bilirubin levels - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3561 Questions
Doctor :   Hi
User :   MY FATHER AGE 62 IS HAVING PROBLEM OF JAUNDICS
Doctor :   ok
User :   AFTER BLOOD TEST BILURUBIN FOUND 6.7
Doctor :   \ok
User :   AFTER 5-6 DAYS MEDICINE WHEN AGAIN TESTED BILURUBIN AGAIN INCRESD 8.2
Doctor :   ok
User :   THESE ARE TOTAL BILURUBIN
Doctor :   Did u test for direct and indirect bilirubin
User :   YES
Doctor :   kindly elaborate
Doctor :   Since when is the jaundice seen
User :   LAST 10 DAYS
Doctor :   Is he a alcoholic
User :   NO
User :   RECETALLY HE IS VISITED 15 DAYS OUTSTATION TOUR
Doctor :   What about the direct and Indirect bilirubin values
User :   SO THERE MAY BE WATER N FOOD PROBLEM
User :   4.6 AND 3.5
Doctor :   What about the direct and Indirect bilirubin values
Doctor :   Any other tests you have done??
User :   COMPLETE LFT
Doctor :   please provide the details...
User :   SGOT & SGPT IS INCREASED BUT PRESENTLY REPORT IS NOT WITH ME
User :   IF U CAN PROVIDE UR ID I WILL SEND U DETAIL
Doctor :   Yes
User :   PL
Doctor :   Could you mail the report now
User :   NO AFTER 3-4 HR ONLY
Doctor :   Is the Hbsag profile been done??
User :   NO
User :   MAM BEAR 02-03 MIN
User :   I M ARRANGING THE REPORT
Doctor :   ok
Doctor :   Have you consulted any physician ?
User :   YES
Doctor :   please send the reports at doctor @ WWW.WWWW.WW User :   PL FIND REPORT
User :   INDIRECT BILLURUBIN--3.6
Doctor :   ok
User :   DIRECT BILLURUBIN 4.9
Doctor :   ok
User :   SGOT---180
User :   SGPT----220
User :   ALKALINE PH---145
User :   PROTINE TOTAL----5.6
User :   ALBUMIN----3.0
User :   F GLUBIN---2.6
User :   F GLUBIN 2.6
User :   NOW PLEASE SUGGEST REMEDIAL ACTION
User :   AND CRITICALYTY
Doctor :   Is the Ultrasound abdomen been done?
User :   NO
Doctor :   Does your dad complain of pain abdomen
User :   NO
User :   BUT SOME VOMTING PROBLEM IS THERE
User :   MAM PL SUGGEST
Doctor :   Ok,By the data you have provided it appears that the jaundice is due to infection.
User :   AND ABT SEVERITY
Doctor :   It is prudent ,at this stage to get the USG and the Hbsag profile done to confirm the diagnosis
User :   ANY OTHER TEST REQD
User :   TILL I M WATING 2 KNOW ABT SEVERITY OF JAUNDICS
Doctor :   Those two tests with a physician consultation is necessary
User :   OK
Doctor :   Let me explain it to you
Doctor :   since the LFT is mildly elevated
User :   OK
Doctor :   I would not say that it is severe right now
User :   OK
Doctor :   and a clinical examination
Doctor :   nevertheless, I would surely insist on an ultrasound
User :   OK
Doctor :   did you follow my suggestions
User :   YES OF COURSE
Doctor :   ok
Doctor :   did i answer all your questions ?
User :   ANY OTHER SUGGESTION
Doctor :   let me explain briefly abiut the treatment
User :   OK
Doctor :   1. diet should include a high carbohydrate and very minimal protein and fat , it will reduce the stress on the liver
Doctor :   2. ample rest
Doctor :   3. me must drink lot of fluids , including water
Doctor :   4. once the diagnosis is conformed , further treatment will be planned
User :   OK
Doctor :   he must be on this diet till he improves fully and gradually his LFT will come down to normal limits .
User :   CAN U PROVIDE DIET CHART
Doctor :   we have a dietitian on our panel
Doctor :   she will design a personalised plan
Doctor :   do you want toavail it
User :   PL
Doctor :   you have to pay for the same
User :   WHAT
Doctor :   i think our chat time is ending
Doctor :   i meant the diet plan will be different from this chat
User :   OK THANKS
Doctor :   our customer care will call you for the details on the diet plan
User :   OK
Doctor :   do you want to avail it ?
User :   PL
Doctor :   if yes , please confirm your phone no and mail id
Doctor :   we will call you soon for it

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