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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Advise On Vomiting And Stomach Pain At Night With Hepatitis A

Hi,
My wife aged 25 was diagnosed with hepatitis A with viral infection in lever. SGPT and SGOT count had gone as high as 5500 but now has come down to 54 and 73. bilirubin count came down to 4.78 from 7.2. She is on hepamerge and udihep forte tablets along with R-RD cap(for gas) along with Silybon and Digene syrup. Still she complains of pain in the upper stomach (just below the diaphrame in center of chest ). IS there something I should worry or the pain will ease off in time? Also some times in night she vomits and the pain increases. she is on moong khichdi diet, water of the coocked dal, apple and cucumber.
Mon, 9 Jun 2014
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Pain Medicine & Palliative Care Specialist 's  Response
Hai.wat treatment ur giving her is quite enough for her problem, viral hepatitis has prolonged effects many of the times.
Nausea, vomitting, pain abdomen are most common symptoms.
Ur not supposed to give her more painkillers &paracetamol as these affect the liver.u can give her antacids, ppi's like pantoprazole with domperidone atvleast one dose daily before breakfast to suppress the nausea effect.
For pain u can give her simple mefenamic acid for the pain.
Please continue with the same bland diet, nonspicy, non oily foods.
It is usually prolonged self limiting problem, reduces on its own.
Dont worry. Take care.
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Advise On Vomiting And Stomach Pain At Night With Hepatitis A

Hai.wat treatment ur giving her is quite enough for her problem, viral hepatitis has prolonged effects many of the times. Nausea, vomitting, pain abdomen are most common symptoms. Ur not supposed to give her more painkillers ¶cetamol as these affect the liver.u can give her antacids, ppi s like pantoprazole with domperidone atvleast one dose daily before breakfast to suppress the nausea effect. For pain u can give her simple mefenamic acid for the pain. Please continue with the same bland diet, nonspicy, non oily foods. It is usually prolonged self limiting problem, reduces on its own. Dont worry. Take care.