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Hepatitis during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   I am pregnant with approx 35 weeks over and i have my bile acid test in which the total bile acids range comes to 43.4umol/l and (SGPT)(ALT)(IFCC) comes to 353 mol/l which is in morla range of max50 mol/l
i was on anitibiotic for my throat infection and have taken amoxicyllin 500 as the course medicine.
right now i am taking calcium and iron on regular basis along with the proein powder 2 times a day for the fetal grwth.
my age is 29years and this is my second issue. please help me with the positive remedy and is there any effect of the same to my baby. pls let me knw
Doctor :   Hi
Doctor :   I am a family Physician
User :   pls help
Doctor :   can you type the normal value and your value of total bile acids and
User :   bile acid total is 0-10 and my reading is 42.4 umol/l
Doctor :   is it fasting or after eating
User :   sir can u pls fwd to some gyany doc pls
User :   the test is after eating
User :   r u thr
Doctor :   Serum or plasma TBA levels is a sensitive indicator of liver function in all species, reflecting both hepatic synthesis, secretion, and re-absorptive functions. Therefore, testing for serum TBA will help to detect liver functional changes before the formation of more advanced clinical signs of illness such as icterus. This early sensitivity is very important in clinical diagnosis because it allows for the possibility of treatment before extensive and irreversible damage is done.
Doctor :   what is normal SGPT in mol/l
Doctor :   in ur lab report
User :   it is 0-50mol/l
User :   the sgpt is abnormally high
Doctor :   ok
User :   i havent taken any unprescribed medicine
Doctor :   Do you have biliubin leves?
User :   sorry doc i am nt having the report rigth nw in fromt of me. but as u have shown the report to my doc all other things than SGPT and Bile acid are under the normal range.
Doctor :   Do you have yellow discoloration of eyes or skin?
User :   no, only itching in body parts mainly in arms and legs
Doctor :   All right
Doctor :   Here there are all few possibilites
Doctor :   1. a disease called cholestasis
Doctor :   Cholestasis of pregnancy is a condition in which the normal flow of bile in the gallbladder is affected by the high amounts of pregnancy hormones.
Doctor :   Cholestasis is more common in the last trimester of pregnancy when hormones are at their peak, but it usually goes away within a few days after delivery.
Doctor :   Pregnancy hormones affect gallbladder function, resulting in slowing or stopping the flow of bile. The gallbladder holds bile that is produced in the liver, which is necessary in the breakdown of fats in digestion. When the bile flow is stopped or slowed down, this causes a build up of bile acids in the liver which can spill into the bloodstream.
User :   is this harmful to the baby and its grwth
Doctor :   no
User :   anything very serious
Doctor :   do u have Dark urine color or Light coloring of bowel movements
User :   no i am ahving regular urine but bowel sm times in ligth color due to iron tablts
Doctor :   Medication to decrease the concentration of bile acids such as ursodeoxycholic acid will help
User :   doc anything serious is there
Doctor :   Bi-weekly non-stress tests which involve fetal heart monitoring and contraction recordings
Doctor :   you need to check the well being of the baby
Doctor :   that is the only problem
User :   the heart monitoring i have done tdy and it is normal in the range of 130-155rpm
Doctor :   If the baby hert rate is not assuraing, Gynecologist will give you sterod injection to make the baby lungs mature
Doctor :   It is normal now
User :   doc i have taken the appointment at apollo hospital in chennai tmrw fr this thing only. i have read in internet abt ICP and i was bit feared can u please help me abt the same
Doctor :   ICP expand?
User :   Inter Cholestasis in pregnancy casued hepatitis
User :   i have seen on website called Doctor :   Please do not go with sites
Doctor :   u need correctdiagnosis
Doctor :   u relates symtpoms from site to u
Doctor :   that is not good
Doctor :   we need correct diagnsosis from ur data
User :   ok.. wht precautions shall i have to take in this case.
Doctor :   Treatment is given by doc
Doctor :   He will give u some medications
User :   anything in dy to dy i have to atke care
Doctor :   Medications to exctere excess bile acids
Doctor :   steroids to hea hepatitis if any
Doctor :   medications for itching
Doctor :   sterouid creams for itching
Doctor :   weekly assessmnet of ur baby
User :   ok.. whr r u located doc
Doctor :   Bangalore , Ind
Doctor :   read this article
Doctor :   User :   ok..
Doctor :   Also need to rule out other probelms like pregancy induced high BP
User :   any spl care wht shall i take like fruits wht fruits and veg etcc
Doctor :   Do you have high Blood pressure
User :   no tdy the bp also get chkd which is 90/120
Doctor :   Ok
Doctor :   so u need to weekly examination of baby
Doctor :   regarding food: User :   what shall i take
Doctor :   A low-fat diet. Drinking more water, eight to 12 glasses, can also be helpful to the liver and help to flush toxins from your system.
Doctor :   Fresh lemon juice squeezed into warm water can be consumed, as well
Doctor :   The acids in the lemon juice will help neutralize bile acids.
Doctor :   Organic fruits and vegetables with deep pigments like beets, carrots, red cabbage, cauliflower, pumpkin and potatoes are recommended because of their lack of pesticides and wealth in vitamins and minerals. High protein foods like beans, nuts, eggs and fish will also be beneficial. Foods that contain omega-6 and omega-3 fatty acids are crucial in combating any illness.
Doctor :   Foods that contain omega-6 fatty acids include leafy greens, soy beans, nuts and fish. Omega-3 fatty acids can be found in fish like salmon, tuna, mackerel, shrimp, oysters and sardines, as well as cod liver and linseed oils
Doctor :   Rye, wheat, rice, barley, corn and oats are grains that are essential to a low-fat diet.
Doctor :   Virgin olive oil, canola oil and sunflower oil are acceptable
User :   wht abt protein powder shall i continue
Doctor :   Yes
Doctor :   Vitamin K is an essential vitamin for those suffering with cholestasis during pregnancy.
Doctor :   Ask ur doctor for Vit K tomorrow
User :   what are the rich sources of vit k
Doctor :   Carrots beetroots
User :   ok thank fr ur guidance
User :   i will be in tch
Doctor :   Ok
Doctor :   TC
Doctor :   Bye
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