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What Does This LFT Report Indicate?
Question: Please find my liver function test.
I am 32 week pregnant.
My enzymes are raised and i suffer from severe itching problem.
I am taking udiliv 300 from past 5 days as per my gynae but no relief from itching.
What can i do and does it harming my baby
I am 32 week pregnant.
My enzymes are raised and i suffer from severe itching problem.
I am taking udiliv 300 from past 5 days as per my gynae but no relief from itching.
What can i do and does it harming my baby
Brief Answer:
IHCP
Detailed Answer:
Hello,
Thanks for the query to HCM,
The presence of raised liver enzymes during pregnancy with itching indicates IHCP OR INTRAHEPATIC CHOLESTASIS OF PREGNANCY, which can cause deposition of bile salts in the foetus if not cured and can even cause a demise. So UDILIV 300mg may have to be taken three times a day to start with and continued till at least 37 weeks when the delivery should be planned by induction of labour.
The deranged enzymes shall get treated after delivery. But till then management with UDILIV and weekly NST AND AFI should be done with weekly LFT parameters.
Please share your LFT reports as attachments.
Regards
IHCP
Detailed Answer:
Hello,
Thanks for the query to HCM,
The presence of raised liver enzymes during pregnancy with itching indicates IHCP OR INTRAHEPATIC CHOLESTASIS OF PREGNANCY, which can cause deposition of bile salts in the foetus if not cured and can even cause a demise. So UDILIV 300mg may have to be taken three times a day to start with and continued till at least 37 weeks when the delivery should be planned by induction of labour.
The deranged enzymes shall get treated after delivery. But till then management with UDILIV and weekly NST AND AFI should be done with weekly LFT parameters.
Please share your LFT reports as attachments.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
I have uploaded my LFT reports
Please review it and let me know if my enzymes are very much deranged or is it normal
I have uploaded my LFT reports
Please review it and let me know if my enzymes are very much deranged or is it normal
Brief Answer:
Answered
Detailed Answer:
Hello,
I have seen the reports.
The reports are not alarming as serum bilirubin levels are normal and SGOT , SGPT, ALK PHOSPHATASE ARE RAISED. So a dose of idiliv 300mg should be started twice a day for a week and then once a day to maintain. The levels of enzymes should reduce in next 1 week but dosage has to be increased, however for itching , you may opt for an antihistaminic like TAB CETRIZINE 5mg twice a day for next 3-5 days. Its safe in third trimester.
Regards
Answered
Detailed Answer:
Hello,
I have seen the reports.
The reports are not alarming as serum bilirubin levels are normal and SGOT , SGPT, ALK PHOSPHATASE ARE RAISED. So a dose of idiliv 300mg should be started twice a day for a week and then once a day to maintain. The levels of enzymes should reduce in next 1 week but dosage has to be increased, however for itching , you may opt for an antihistaminic like TAB CETRIZINE 5mg twice a day for next 3-5 days. Its safe in third trimester.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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