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Jaundice, pale stool, tiredness - 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 : 2005
Answered : 2305 Questions
User :   hi doctor
Doctor :   hi, this is Dr , How may i help You today?
User :   recently i underwent a blood test for bilirubin
User :   my level was 1.3 mg/dl total
User :   and .6 direct
Doctor :   OK, May i know the reason for doing so? i mean to say what were the medical reasons to do so?
User :   actully i had jaudice 9 in year 2001
User :   and i am aware of its symtoms
Doctor :   Do you know what was the cause, did you have any Hepatitis?
User :   may be heavy workout or dirty water , dairy product
Doctor :   Currently your bilirubin levels are within the normal , but did you have nay symptoms this time around?
User :   my stool look somewhat pale and i feel tired even in starting of my work out
Doctor :   may i know your age, weight ?
Doctor :   Do you go to the gym to workout?
User :   doctor u are saying that level are normal but report says that 0 to 1 total and 0 to .5 direct are normal values
User :   my age is 25, 5.10 and 61 kg
User :   yeah but i only do cardio
Doctor :   these are minor age related variations which do not matter unless you have major symptoms.
Doctor :   please let me know what symptoms are you having now.
User :   actually i earlier had jaundice in 2001 .. and know littile abt symtoms its pale stool, and tiredness during my workouts , heavy sweating
User :   the doctor i consulted here recommended me Udiliv (Ursodesoxcholic acid tablets) and L- ornitine L- aspartate and Pancreatin Tablets along with a syrup and vitamin tablets
User :   i am little bit worried about Udiliv tablet i read on net that its for gallbladder stone
Doctor :   when was this ? and how long have you been on this medication?
User :   from past two days
Doctor :   yes it is , it is also given if you have severe jaundice.
User :   so should stop Udiliv and have blood test after 10 days to check bile level
Doctor :   You did not tell me what symptoms you had this time.
User :   pale stool and tiredness and on top of that my blood test report
Doctor :   were these medications prescribed by a specialist or a general physicain?
User :   general physician
User :   also my SGPT was 47 and SGOT was 26 mg/liter
User :   again normal range for SGPT 5-35
Doctor :   any hepatitis panel done this time or previously ?
User :   antigen
User :   its non reactive
Doctor :   ok, what about hepatitis A OR C?
User :   no
User :   should i go for test of hepatitis A and C
User :   and pls tell me abt Udiliv shd i stop that one
Doctor :   yes, it would be useful to rule out these conditions.
User :   what are the test for A and C
User :   if its hepatitis A what is the cure for that
Doctor :   hepatitis Panel for hep A & hep C are available and these are the similar to the ones you have done
Doctor :   management of hepatitis A is very easy and symptomatic
Doctor :   it is not much serious condition.
User :   is it beneficial to get vaccine for hepatitis A
Doctor :   definitely it is useful and i was about to suggest it.
User :   ok if it not seroius then shd i start my workout after 10 days
Doctor :   if yu have not had hepatitis B vaccine as well
Doctor :   yes you can.
User :   wht abt Udiliv
Doctor :   was any Ultrasound of the liver done ?
User :   shd i stop that one
User :   no
User :   shd i go for ultrasound
User :   ?
Doctor :   i feel u should take it - if you have major symptoms like pruritus, ...
Doctor :   Usg - liver - could be done if you have an enlarged liver on physical examination,
Doctor :   but i feel stop udiliv , now since you are not having major symptoms
User :   ok how to examine enlarged liver
Doctor :   maintain adequate hydration, and soft diet.
User :   ok
Doctor :   it is determined by a doctor by physical examination.
User :   from past one month i am also taking sprouts ..since its rainy season shd i stop them
Doctor :   tiredness and lethargy could be the problems due to anemia, and other causes as well.
Doctor :   No sprouts are good for health, u can have them.
Doctor :   i would suggest you get a complete blood count done, check your TSH as well (for thyroid issues),
User :   ok doctor bt is it ok eat raw food
Doctor :   get yourself vaccinated with hep A , hep B as well.
User :   i had wbc count
User :   shd i wait for sometime before going for vaccination
Doctor :   was Hb ( hemoglobin), red cell count done, was it normal?
User :   hg and RBC was not done bt WBC was 9400/cmm
Doctor :   you can take them anytime, there is no need to wait now, unless you choose to do so.
Doctor :   as i said, get a Hb, TSH done
User :   ok doctor i am stopping Udiliv and going for blood test
Doctor :   & get vaccinated
Doctor :   I would advice you to do those tests, and be sure that it will be a serious issue.
User :   ok doctor its nice to chat with you
Doctor :   u r welcome
User :   HbsAg is wht u mean by hb
Doctor :   thank you for consulting me here, bye for now.
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