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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Come Out Of Acute Viral Hepatitis A?

I had elevated bilirubin at 11.25 which has now come down to 7.54 but my SGPT & SGOT levels have increased to 284 & 224 respectively. I was diagnosed with acute viral Hepatitis A and I am having constant fever for the past 1 month which has come down to 99 - 100 twice a dayh. Kindly advise.
Fri, 4 Dec 2015
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Gastroenterologist,  's  Response
Hello. Thanks for asking query on HCM.

As I understand from your narration that you have been diagnosed with acute hepatitis A ( I assume diagnosis was based on IgM anti HAV levels and other viruses ruled out). Acute hepatitis A is a self limiting illness which requires only supportive measures. As I see your bilirubin level is coming down which is a good sign and indicates recovery phase. I think your SGOT and SGPT levels may also be coming down (probably from 1000s or so). Usually complete recovery takes about 4 to 6 weeks. Alarm features of severe disease are - excessive sleepiness, worsening jaundice, bleeding manifestations and swelling of the abdomen, which are not the case with you. You require UDCA 300 mg twice daily along with PPI, antiemetics and good nutricious diet. Hope for early recovery.

Take care.

Laxmiaknt Desai
Gastroenterologist and Hepatologist
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How To Come Out Of Acute Viral Hepatitis A?

Hello. Thanks for asking query on HCM. As I understand from your narration that you have been diagnosed with acute hepatitis A ( I assume diagnosis was based on IgM anti HAV levels and other viruses ruled out). Acute hepatitis A is a self limiting illness which requires only supportive measures. As I see your bilirubin level is coming down which is a good sign and indicates recovery phase. I think your SGOT and SGPT levels may also be coming down (probably from 1000s or so). Usually complete recovery takes about 4 to 6 weeks. Alarm features of severe disease are - excessive sleepiness, worsening jaundice, bleeding manifestations and swelling of the abdomen, which are not the case with you. You require UDCA 300 mg twice daily along with PPI, antiemetics and good nutricious diet. Hope for early recovery. Take care. Laxmiaknt Desai Gastroenterologist and Hepatologist