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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Jaundice Based On The Below Bilirubin Values

Hi sir/ ma m My brother is under treatment for jaundice. When he got admitted the values were , TOTAL BILIRUBIN- 7.6 SGOT- 950 SGPT - 900. But after three to four days of treatment no signs of improvement have been observed. Today s reports - TOTAL BILIRUBIN 12.5 , SGOT - 1700 SGPT - 1750. Please suggest what actions should be taken.
Thu, 25 May 2017
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General & Family Physician,  's  Response
Hi welcome to the health care magic

Your SGPT, SGOT values are high enough along with high bilirubin level as well...

It seems most likely from viral hepatitis leading hepatocellular jaundice

For this condition your child should be admitted into hospital and investigation needed with....
_urine urobilinogen and bile pigment estimation
_CBC and reticulocyte count
_Hbsag ELISA, HCV ELISA, HAV ELISA testing
_USG abdomen

Your child can be prescribed udiliv tablet or syrup

Give him low fat diet

Fruits juices given more

Sugar cane juice, Apple juice can be consumed more

Take care

Hope your concern solved
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Radiologist,  Dr. Klodian's  Response
he probably has an acute hepatitis and has to be treated. Usually it takes some days even weeks to for liver enzymes to normalise. The treatment depend on the type of virus.
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Suggest Treatment For Jaundice Based On The Below Bilirubin Values

Hi welcome to the health care magic Your SGPT, SGOT values are high enough along with high bilirubin level as well... It seems most likely from viral hepatitis leading hepatocellular jaundice For this condition your child should be admitted into hospital and investigation needed with.... _urine urobilinogen and bile pigment estimation _CBC and reticulocyte count _Hbsag ELISA, HCV ELISA, HAV ELISA testing _USG abdomen Your child can be prescribed udiliv tablet or syrup Give him low fat diet Fruits juices given more Sugar cane juice, Apple juice can be consumed more Take care Hope your concern solved