question-icon

Suffering From Hepatitis, Bilirubin Level Is High With Fever. Suggest?

default
Posted on Thu, 17 Oct 2013
Question: my daughter is suffering from acute v. hepatitis SINCE 10 DAYS. the s. bilirubin leval is 8.9 she is also s from fever 102.6. which TREATMENT I SHOULD GIVE THIS TIME TO CONTRL FEVER.
doctor
Answered by Dr. E Venkata Ramana (56 minutes later)
Brief Answer:
Paracetamol in prescribed dose, Tepid sponging.

Detailed Answer:
Hi,

Thank you for your query on Healthcare Magic.

The main treatment in acute viral hepatitis is supportive to maintain the child hydration.

For fever control, you can give tablet like Parasafe in prescribed dose which contains both paracetamol and methionine. Methionine decreases the toxic effects of paracetamol on already compromised liver cells because of hepatitis.

If there is high grade fever, you can do tepid sponging with lukewarm water.

Antiemetic like domperidone or ondansetron can be given to stop vomitings.

Her activity, sensorium, temperature, urine output, hydration, and oral intake has to be monitored regularly.

The cause for hepatitis has to be investigated by sending blood for viral markers like Hepatitis A, B, C, and E to know the organism responsible for disease.

Other infections like malaria, typhoid to be ruled out with appropriate investigations as she having fever till now.

Hence I advise you to be in close medical follow up till she recovers completely.

Hope I have answered your query, if you have any clarification please let me know.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. E Venkata Ramana

Pediatrician

Practicing since :2002

Answered : 3176 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suffering From Hepatitis, Bilirubin Level Is High With Fever. Suggest?

Brief Answer:
Paracetamol in prescribed dose, Tepid sponging.

Detailed Answer:
Hi,

Thank you for your query on Healthcare Magic.

The main treatment in acute viral hepatitis is supportive to maintain the child hydration.

For fever control, you can give tablet like Parasafe in prescribed dose which contains both paracetamol and methionine. Methionine decreases the toxic effects of paracetamol on already compromised liver cells because of hepatitis.

If there is high grade fever, you can do tepid sponging with lukewarm water.

Antiemetic like domperidone or ondansetron can be given to stop vomitings.

Her activity, sensorium, temperature, urine output, hydration, and oral intake has to be monitored regularly.

The cause for hepatitis has to be investigated by sending blood for viral markers like Hepatitis A, B, C, and E to know the organism responsible for disease.

Other infections like malaria, typhoid to be ruled out with appropriate investigations as she having fever till now.

Hence I advise you to be in close medical follow up till she recovers completely.

Hope I have answered your query, if you have any clarification please let me know.

Regards.