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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Jaundice With Vomiting

My son Mike who is 29 had nausea & vomiting, fatigue,beginning the last week of Nov. He went to his doc on Dec 15...they immediately sent him for blood work... because he was jaundiced. Labs revealed liver enzymes sgot/sgpt 575 + (normal 7-50) ...bilirubin 8.(normal 0-.1) Sent him to CMC er. ultrasound & cat scan of abdomen were good ,hepatitis abcd & hiv were negative. all other labs good... so they sent him home ( we were thinking gall bladder. He had the same issues last year around this time for 3 months....had no health insurance, got insurance in dec 2013 & he had a endoscope of abdomen done...revealed nothing)The issue resolved on it s own & he has not had nausea/vomiting until this present time. He is in good health other than seasonal allergies & takes zoloft for depression/anxiety. He drinks socially does not smoke or do drugs.He does have lots of tattoos...so we thank God all infections were ruled out. He rarely/never takes tylenol or advil. He lives with his girl of 7yrs. & cooks & eats healthier than most people. He went back to the gym mid dec & took 2 weeks of a pro hormone to build muscle called schoxx...warzone. We told the docs this but they don t know what is going on or if the supplement caused this. He started getting more jaundice, urine darker, clay colored stools & called his friend who is head of the er at Geisinger Wyoming valley hospital.The doctor was on call & told him to come asap to er. He was admitted last saturday with IV therapy to try to flush toxins out of liver. His sgot/sgpt liver enzymes are coming down significantly, but bilirubin went up to 14.8 then 15. Another ultrasound, MRI of abdomen showed nothing. They talked about doing a liver biopsy, but then did not do it. He was discharged on Tues. Nausea & vomiting had stopped. Blood work on wed...his bilirubin was 24 ! other enzymes in low 100 s. He was seen by 7 doctors & No one knows what is going on. His bilirubin keeps going up.......last Fri it was 24, Monday 30...& Tuesday 33 !!! He is soo jaundiced/yellow. he also vomited again 2x on Tuesday.
Mon, 16 Nov 2015
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Dear sir which bilirubin component was raised indirect or direct. The history suggest severe liver damage. However, obstruction should be ruled out.
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Suggest Treatment For Jaundice With Vomiting

Dear sir which bilirubin component was raised indirect or direct. The history suggest severe liver damage. However, obstruction should be ruled out.