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Suggest Treatment For Upper Right Abdominal Pain
Question: Im 30 years old, female. My ESR 62mg/L, Hs-CRP 13mg/L. Recently i keep nausea and vomiting. Dr suspect i have fatty liver in the ultrasound(result:show my liver is enlarged with diffuse increased echogenicity.). But my liver function test is normal.
Can i know ESR and Hs-CRP is effect from my liver or any chronic disease.?
1 year ago my Liver inflammation, My Sgot/sgpt/ggt suddenly 638/238/124U/L. I have serious stomach pain, dr request me on the spot admitted hospital. I stay hospital around 4 days with given drips, injection antibiotic. After 3 day, my Sgot/sgpt/ggt drop to 238/357/124 U/L,. A week later, my liver function drop to normal. I have done CT Scan, but normal. Have done hepatitis blood test also normal. Dr no solution be given. Until today, i feel upper right abdomen pain or like dull pain, sometime night i awake because the pain. I have suffer a years. Any opinion to give?
XXXX
Can i know ESR and Hs-CRP is effect from my liver or any chronic disease.?
1 year ago my Liver inflammation, My Sgot/sgpt/ggt suddenly 638/238/124U/L. I have serious stomach pain, dr request me on the spot admitted hospital. I stay hospital around 4 days with given drips, injection antibiotic. After 3 day, my Sgot/sgpt/ggt drop to 238/357/124 U/L,. A week later, my liver function drop to normal. I have done CT Scan, but normal. Have done hepatitis blood test also normal. Dr no solution be given. Until today, i feel upper right abdomen pain or like dull pain, sometime night i awake because the pain. I have suffer a years. Any opinion to give?
XXXX
Brief Answer:
Acute on chronic-active Hepatitis
Detailed Answer:
Hi,
Dear ,thanks for the query to HCM.
I studied your the details of the elucidate query and understood your health concerns from the facts given there in.
You have many queries which I would reply one by one as follows-
a-ESR is raised and is non-specific indicator ans as its coming down your treatment is recovering the emergent situation.In your case its mostly due to Acute on chronic active-hepatitis
b-Hs-CRP is also raised and indicates increase future risks to CHD-Coronary Heart disease due to associated fatty liver changes and disturbed lipid profile in time to come- and not an urgent cause of worry but needs planned treatment with Physician after discharge from this emergency treatment.
c-You are in the hospitalization treatment for acute hepatitis NOW but the reason is not yet fixed as you have normal CT/ hepatitis test normal.
@Plz update if you have HBIG -Hepatitis B Immunoglobulin reports -ASAP to resolve the cause of this emergency and future planning of your treatment.
d-Here I would like to know HBIG test reports? is it done and what are the levels ? plz update ASAP.
e-The upper right abdominal pain and discomfort with nausea and vomiting are all due to liver disease.
@- My Opinion and Impression about your case and its treatment -
In my opinion doctors of the hospital are taking all the care you need and hope your HBIG report is updated ASAP from you.
-Well-come for any further query in this regard.
-Have fast recovery and don't Worry, We would find out the cause of it and treat it thereafter in the best possible way for your issues.
-Hope this would resolve your issues .
With Regards
Acute on chronic-active Hepatitis
Detailed Answer:
Hi,
Dear ,thanks for the query to HCM.
I studied your the details of the elucidate query and understood your health concerns from the facts given there in.
You have many queries which I would reply one by one as follows-
a-ESR is raised and is non-specific indicator ans as its coming down your treatment is recovering the emergent situation.In your case its mostly due to Acute on chronic active-hepatitis
b-Hs-CRP is also raised and indicates increase future risks to CHD-Coronary Heart disease due to associated fatty liver changes and disturbed lipid profile in time to come- and not an urgent cause of worry but needs planned treatment with Physician after discharge from this emergency treatment.
c-You are in the hospitalization treatment for acute hepatitis NOW but the reason is not yet fixed as you have normal CT/ hepatitis test normal.
@Plz update if you have HBIG -Hepatitis B Immunoglobulin reports -ASAP to resolve the cause of this emergency and future planning of your treatment.
d-Here I would like to know HBIG test reports? is it done and what are the levels ? plz update ASAP.
e-The upper right abdominal pain and discomfort with nausea and vomiting are all due to liver disease.
@- My Opinion and Impression about your case and its treatment -
In my opinion doctors of the hospital are taking all the care you need and hope your HBIG report is updated ASAP from you.
-Well-come for any further query in this regard.
-Have fast recovery and don't Worry, We would find out the cause of it and treat it thereafter in the best possible way for your issues.
-Hope this would resolve your issues .
With Regards
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hello Dr, thank you for reply. I have done hepatitis B on Dec'14. The result just show not detected.
An attachment the test done on last year Dec'14. For IgG,IgM and IGA. As all show normal. Just IgG higher a bit. Dr say normal.
The latest I done endoscope on last two week. Everything normal, just problem because GERD. Dr have prescribed Dexilant and ganathon. But not help. mostly night I will stomach cramp till wake up. Working time I feel discomforts at my upper right abdomen. Feeling is dull pain. Seriously pain is cramp. Next I done ultrasound, just show my liver enlarged.
The discomforts is follow me a year. My condition:
a. heart rate abnormal.
b.Fatique and dizziness
c.stomach always cramp and dull pain
d.nausea and vomiting
e.sometime hard to breathing(less)
ESR, in this two year no rather become normal, the higher is 73mg/l.
I don't know rather I have to back follow up. For overall Dr suspect me fatty liver. But the suffering Pain and vomit still follow me. I take very soft meal, mostly is porridge. I have sudden reduce 10kg in a month. Previous I try also not success.. This pain let me have a chance reduce. Dr no idea, I also no idea. Or rather continue the pain follow me. Any suggestion from you Dr.
XXXX
An attachment the test done on last year Dec'14. For IgG,IgM and IGA. As all show normal. Just IgG higher a bit. Dr say normal.
The latest I done endoscope on last two week. Everything normal, just problem because GERD. Dr have prescribed Dexilant and ganathon. But not help. mostly night I will stomach cramp till wake up. Working time I feel discomforts at my upper right abdomen. Feeling is dull pain. Seriously pain is cramp. Next I done ultrasound, just show my liver enlarged.
The discomforts is follow me a year. My condition:
a. heart rate abnormal.
b.Fatique and dizziness
c.stomach always cramp and dull pain
d.nausea and vomiting
e.sometime hard to breathing(less)
ESR, in this two year no rather become normal, the higher is 73mg/l.
I don't know rather I have to back follow up. For overall Dr suspect me fatty liver. But the suffering Pain and vomit still follow me. I take very soft meal, mostly is porridge. I have sudden reduce 10kg in a month. Previous I try also not success.. This pain let me have a chance reduce. Dr no idea, I also no idea. Or rather continue the pain follow me. Any suggestion from you Dr.
XXXX
Brief Answer:
Chronic Active Hepatitis with Fatty liver
Detailed Answer:
HI,Thanks for the update
Plz update on
a-HBsAG report?
b-Hiv and STD status report?
c-Any Blood transfusion history in last 1-2 yrs time?
d-Whats the paracetamol /alcohol use frequency ?
Continue
a-earlier diet advise
b-Liv 52 concentrate drops 3 times a day.
c-Deep breatning exercises-10 mts sessions x 3-4 times a day
Await your reports
Dont worry and be hopeful..!!
Good Night.
Dr.Savaskar M.N. from XXXXXXX
Chronic Active Hepatitis with Fatty liver
Detailed Answer:
HI,Thanks for the update
Plz update on
a-HBsAG report?
b-Hiv and STD status report?
c-Any Blood transfusion history in last 1-2 yrs time?
d-Whats the paracetamol /alcohol use frequency ?
Continue
a-earlier diet advise
b-Liv 52 concentrate drops 3 times a day.
c-Deep breatning exercises-10 mts sessions x 3-4 times a day
Await your reports
Dont worry and be hopeful..!!
Good Night.
Dr.Savaskar M.N. from XXXXXXX
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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