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How to treat acidity problem with fluctuations in bilirubin levels?

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Gastroenterologist, Surgical
Practicing since : 1989
Answered : 883 Questions
Hello Sir, I am suffering from Jaundice from previous 3-4 months. My billirubin level remains in 1-4. Sometimes it comes to normal and sometimes it suddenly jumped up like from 1.4 to 2.5 . Can please help me why this is happenning like this? I am also suffering from acidity from time to time. And also I want to tell that previously 2 months before my SGOT level is 16 and SGPT is 18. But yesterday I again tested it My SGOT level goes to 35 and SGPT to 37. I am also suffering from acidity right now. Please help me what should I have to do. Is there is anything to worry? Thanks XXXX XXXXXXX
Posted Tue, 24 Dec 2013 in Liver and Gall Bladder
Answered by Dr. Ketan Vagholkar 2 hours later
Brief Answer: Need not worry at all. Detailed Answer: Hi, Thanks for writing in. The bilirubin levels which you have stated are a bit high. But the liver enzymes are within normal range. This suggests that the liver is functioning normally. Clinically you need to look for the following 1. Yellowish tinge of the sclera.(eyes) 2.Itching sensation all over the body. 3.Pale coloration of stools. 4. Loss of apatite. 5. Loss of energy. 6. Discomfort in digesting fatty meals. If the above are absent then you need not worry at all. If any of the above are present then I would suggest you to undergo further investigations. An ultrasound of the abdomen would be advisable to study the hepatobiliary system. In the mean time I would suggest a few liver tonics which would be beneficial for recovery. 1. Tricholine citrate+Sorbitol combination. 2 tablespoons in a glass of warm water in the morning on empty stomach everyday for 6 months. 2. Ornithine containing compounds.(1-1-1)X 1month. These liver tonics will strengthen you liver function and will protect it against infections as well. I hope this answers your problem. Regards
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Follow-up: How to treat acidity problem with fluctuations in bilirubin levels? 3 hours later
hello sir, Thanks and I am sending you the answers of regarding above symptoms. 1.) I don't have any yellowishness in my eyes. 2.) I feel itching on chest ,stomach,back or lower portions at night for about half an hour sometimes but not daily and then it removes automatically without doing anything. 3.) Stool colour is exactly brown , it seems to have tinge of yellowishness in it. 4.) There is not any loss of appetite. I fel't hungry everytime I fel't weak. 5.) Yes i feel loss of energy sometimes during from previous 2-3 days. But when drink some water or eat anything I fel't alright. 6.) Actually I haven't taken any heavy from previous 5 months . So don't know if I have problem of these. But when I ate vegetables like Rajmah, chole, these cause acidity. 7.) Also I want to mention that I am suffering from acidity from previous 2 days. And from previous 2 days I am feeling very thirsty and have some weakness also. I think I have told almost everything about the symptoms I have. Please tell me why It is taking so long to heal jaundice, it is almost 6 months. And I want to know as I am a software developer , Can I continue going to office or need to take rest. Thanks XXXX XXXXXXX
Answered by Dr. Ketan Vagholkar 4 hours later
Brief Answer: You can start working. Detailed Answer: Hi, Thanks for the feedback. From the answers which you have provided I do not see anything serious. You can safely start working. I would suggest that you start the medications advised by me for improvising liver function.I would also advise you to consume at least 2 liters of water daily. Repeat a liver function test and a ultrasound after 4 weeks. I hope this answers your query. regards
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Follow-up: How to treat acidity problem with fluctuations in bilirubin levels? 2 hours later
Thanks a lot doctor, Can you please tell me why it is taking so long to cure. And what should I do for my acidity problems and what are the precautions in diet what should I take and what should I avoid? And ultrasound and scan is one and same thing or different?
Answered by Dr. Ketan Vagholkar 13 hours later
Brief Answer: Dietary modifications and liver tonics will help. Detailed Answer: Hi, thanks for the feedback. I would suggest that you get an ultrasound done to rule out any specific cause causing upper GI symptoms. Regarding diet I would suggest a bland, low fat, low carbohydrate high protein diet. Include natural antacids such as bananas and cucumbers in the regular diet. Start the liver tonics which I have advised and observe for a month. I hope this answers your doubt. Regards
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