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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Hepatitis B And Gall Bladder Stone?

Hi! My mother age is 81 and weight is 36. she is hepatitis B patient and now she got ascetic tap every 15 days ( almost 7-8 liters). Small Stone in her gall Bladder. now she don't take any food if she try to take any liquid or solid food,she vomits. her recent reports are
BLOOD Test:
creatinine 5.2 mg/dl
urea 131 mg/dl
serum albumin 1.8 g/dl
Total Blood Count:
WBC 13.7 /cumm
Haemoglobin 8 gm/dl
HCT(PCV) 25.72 %
MCH 25.42 pg
RDW (SD) 47.5 fl
Neutrophiles 77%
lymphocytes 22%
Monocytes 01%

Liver Profile
Total Bilirubin 2 mg/dl
Direct Bilirubin 0.9 mg/dl
SGPT /ALT 12 U/L
alkaline phosphate 102 IU/L
Mon, 4 Apr 2016
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General & Family Physician 's  Response
Hi thanks for asking question...

Here your mother having hepatitis b infection with ascites.
So here you might have chronic liver disease in form of cirrhosis....

Although sgpt not elevated but alkaline phosphatase elevated...LFT profile done with estimation of PT and serum albumin also ....

Diuretic can be started for ascites.
You have to consult doctor as intubation might done as she can't take food orally.

For cirrhosis liver transplantation is option but its utility in older age has to be discussed with doc...

If cirrhosis induce portal hypertension also present then beta blocker given...

Tapped ascitic fluid send to laboratory for examination to determine whether it is bacterial , malignant or transudate fluid.

Take care.

Dr.Parth
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What Is The Treatment For Hepatitis B And Gall Bladder Stone?

Hi thanks for asking question... Here your mother having hepatitis b infection with ascites. So here you might have chronic liver disease in form of cirrhosis.... Although sgpt not elevated but alkaline phosphatase elevated...LFT profile done with estimation of PT and serum albumin also .... Diuretic can be started for ascites. You have to consult doctor as intubation might done as she can t take food orally. For cirrhosis liver transplantation is option but its utility in older age has to be discussed with doc... If cirrhosis induce portal hypertension also present then beta blocker given... Tapped ascitic fluid send to laboratory for examination to determine whether it is bacterial , malignant or transudate fluid. Take care. Dr.Parth