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Loss of appetite ,bilirubin tests and jaundice symptoms - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   actually doctor the problem is that i have been taking a treatment regarding loss of appetite since last 20 days
User :   some sort of acidity is also there
Doctor :  
Ok
User :   so i have done some test as suggested by doctor
User :   sgpt,bilirubin
Doctor :  
Ok
User :   sgpt @19, total bilirubin @2.62
User :   direct bili @0.42
Doctor :  
OK
User :   indirect @2.2
User :   one USG ABDOMEN
User :   sonography
User :   in sonography conclusion is written that no abnormality is seen in the usg of abdomen
User :   real time examination of liver shows normal hepatic echotexture
User :   no focal lesion is seen
Doctor :  
ok
User :   there is no ascites
User :   on 19 dec my sgpt was 17 & total bilirubin @1.23
User :   on 2 jan sgpt was 19 & total bili@1.42
User :   bt yesterday whn i got tested it came as 2.62
User :   i am taking rantac tablet
User :   liv 52
Doctor :  
Why are you getting it tested so often?
User :   & one zevit vitamin tablet as suggested by doctor
User :   firstly i have shown gto another doctor
User :   & 2 jan & 16 jan test i have undegone under his advice
Doctor :   Do you have yellowish discoloration of eyes
Doctor :  
do you have any other problem except decreased appetite?
User :   very minor
Doctor :  
What is minor?
Doctor :   appetite?
User :   color of eyes u asked
Doctor :   Did the doctor say that?
Doctor :  
and do your friends or family agree on that your eyes look yellowish
User :   doctor didnt said that
Doctor :  
Do you have discoloration of stool and urine
User :   i live alone
Doctor :  
Do you have discoloration of stool and urine?
User :   stool is hard & sometimes ifeel pain while in the toilet
User :   urine is sometimes yellowish specially in the morning after waking up
Doctor :  
ok
User :   stool is of not normal color its somewhat black in color
User :   i feel sour feeling inthe chest area
Doctor :  
which city do you live and whom did you consult
User :   mumbai
User :   piramal diagnostic
Doctor :  
Did you consult a Gastroenterologist ?
Doctor :  
I am asking about the Doctor
Doctor :   How are you keeping now?
Doctor :  
How is your appetite
User :   no i have not consulted gastro one
User :   she is a general physician
Doctor :  
You should not worry about the SGPT values
User :   why this bilirubin is increasing
User :   i am worryied abt that one
Doctor :  
Actually it should not increase
Doctor :  
But one should not rely on the lab reports alone
Doctor :  
too
User :   specially the indirect one
User :   k
Doctor :  
Hence it is important to get evaluted by an expert who can really correlate with the clinical examinatin
Doctor :   The dark colored stool represents that there is blood leakage in the stomach
Doctor :  
and it is digested in the stomach and coming as dark colored or black tarry stools
Doctor :  
The blood leakage can increase the indirect bilirubin
Doctor :  
In the past you compalined of vomiting?
Doctor :  
Did you have bloody vomitus or streaks of vomitus ?
User :   now it is under control
Doctor :  
What is your age?
User :   29
Doctor :  
Did you reduce the weight?
User :   no
Doctor :   How is the appetite and general health
Doctor :   Did you get a Hemoglobin test done too?
User :   not feeeling to eat anything bt just eat to work
User :   on jan 2 it was 15.1
Doctor :  
Ok
Doctor :  
Did you test it now?
User :   no
Doctor :  
Keep track of your weight, Hemoglobin and Indirect bilirubin
Doctor :  
I think you should consult a Gastroenterologist once with all the reports
Doctor :  
I do not see a major problem but at the same time you should not neglect the dark stool and the appetite issues
Doctor :  
I am more concerned about your symptoms rather than the reports
User :   ok
Doctor :  
The reports are not meant for you and it is meant only for the Doctor who wants to conclude or exclude a diagnosis
Doctor :  
So do not panic about the report
User :   my main fear is that am i suffering from joindis?
Doctor :  
Jaundice is not a dangerous disease if properly taken care of
Doctor :  
You need more hygienic measures at work and home
Doctor :  
like washing hands regularly before and after toiler
Doctor :  
and before and after meal
Doctor :  
Safe drinking water
User :   what sort of measures?
User :   ok
Doctor :  
Food served hot and hygienic places
Doctor :  
Less oily food
Doctor :  
and more liquid diet
User :   k
Doctor :  
Eat at home rather than outside
Doctor :  
Do not eat any junk food
User :   k
Doctor :  
These measures should keep you healthy and the perfect precautions
Doctor :  
for safe health
User :   can u specifically tell me what shd i eat
User :   can i eat chapatti
User :   daliya
User :   fruit , juices
Doctor :  
You can eat green leafy vegetables, fruits, rice , wheat and daliya
Doctor :  
All vegetables
Doctor :  
No non vegeterian
Doctor :  
Butter milk, yogurt
Doctor :  
Papaya is good
Doctor :  
Apple and orange help
User :   aanar
Doctor :  
Yes
Doctor :  
Grapes also good
User :   banana
Doctor :   yes
Doctor :  
Eat fruits rather than their juices
User :   coconut water & sugarcane juice
User :   ok
Doctor :  
Coconut water is fine
Doctor :  
During this period plan your food properly with the help of a Dietitian
User :   ok
Doctor :  
WWW.WWWW.WW User :   there is some discomfort feeling in stomach
User :   ok
Doctor :  
You can get a Diet chart
Doctor :  
here
User :   ok
Doctor :  
by a Dietitian
User :   ok
Doctor :  
So meet a gastroenterologist
Doctor :  
and get back to me after that
User :   what do u think am i suffereing from jauindice?
Doctor :   I am not sure unless I examine you
Doctor :  
as examination is very important
User :   what examination doctor
Doctor :  
and more over the bilirubin levels are too low to produce the yellow color in the eyes
User :   k
Doctor :  
They yellow is seen after 3 to 3.5 total bilirubin levels
User :   ok
Doctor :  
Take SUPRACTIV COMPLETE, two tablets a day
Doctor :  
One after lunch and one after dinner
User :   ok
Doctor :  
for 15 days
User :   ok
Doctor :  
Do not worry, follow my measures, see the Doctor and get back to me
User :   can i take tea
Doctor :  
Take a Dietitian's menu
Doctor :  
Yes you can take tea
Doctor :  
Please fill the feedback form say done when done.
Doctor :  
Is there anything else I can help you with
User :   thanks doctor
Doctor :  
Thanks for consulting me
Doctor :  
Bye for now
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