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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mild Chronic Hepatitis

i am a patient of liver diseases.
I nee some help for treatment.
I am Mizanur Rahman 37 years old, Sex- Male, from Bangladesh.
Investigation of liver disease report are as follows:
SGPT (ALT) -79 (05-08-2011), SGPT-94 (11-07-2011) SGPT always up and down 60 to 94 from 2008.
Liver Biopsy- Mild chronic hepatitis, HAI- 7, Knodell Score : 8
Microscopic appearance: Sections of liver reveal moderate piecemeal necrosis with a few tiny foci of lobular necrosis.
The portal areas contain increased number of chronic inflammatory cells and show periportal fibrosis.
Anti-smooth muscle antibody : Negative
Ceruloplasmin Blood Serum: 462 Normal value (280-570)
Anti Nuclear antibody (ANA) : Negative by ELISA
Lipid Profile :
Cholesterol (Total): 180 mg/dl, Normal value (120-200)
HDL-Cholesterol: 37mg/dl normal value > 35.00
LDL-Cholesterol : 116.40mg/dl Triglycerides : 133mg/dl Normal value fasting 10-190
hTSH : 2.61 ulU/ml Normal value adults 0.47-5.01
Ferritin : 142.80 ng/ml Normal male adult 20-300

I as also a patient of Muscular dystrophy (Myopathy):
Muscle, calf (biopsy): Features are compatible with myopathy.
I have take Treatment : Medicine 1. Laevadosin 2 + 0 + 2 (The medicine was made by Austria, but I cannot manage it)
Medicine 2. BIO-E (Vitamin E) : continued.

Please suggest me.

Thanking you.



Thu, 5 May 2016
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Gastroenterologist 's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Elevation in liver enzymes has many causes apart from which you have already got. Like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.I hope I have answered your query and this will help you . Wish you a good health
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Suggest Treatment For Mild Chronic Hepatitis

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Elevation in liver enzymes has many causes apart from which you have already got. Like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.I hope I have answered your query and this will help you . Wish you a good health