Brief Answer:
Rate of recovery is good and as per expectations
Detailed Answer:
Hi Dr. XXXXXXX
Nice to hear from you.
Firstly, I am sorry for the delay in reply due to internet server failure.
I can fully appreciate your concern for your daughter. Latest Blood counts are normal;
Bilirubin and SGPT too are MILDY raised (which too is of NO concern) and reflect a normal rate of recovery of
liver functions.
Further, whenever there is damage to the liver, the latter (as well as liver functions) take their own time (usually 6-8 weeks) to recover and regenerate. The gradual recovery is manifested by falling Bilirubin and SGPT levels, which will probably take a minimum of another 2-3 weeks to revert back to normal. I am personally of the opinion that the rate of recovery is normal in your daughter's case. Hence, PLEASE DO NOT WORRY AT ALL. As such, 80% recovery has already taken place.
Further, as already mentioned, there is NO DRUG to hasten the rate of recovery. Hepamerz simply helps in recovery. A good, balanced diet, avoidance of drugs which are toxic to liver and, avoidance of severe physical exertion are the ONLY precautions to be taken.
Hb level reflects
anemia. In India, the routine Hb levels in females is between 11-13gm%. Supplementation of Iron +
Folic acid +
Vitamin B12 for 3 months, will elevate the Hb levels. There is an unduly high incidence of worms infestation in Jharkhand. Hence, a monthly deworming course should be taken regularly.
All vitamins (
Vitamin A, B, C, Vitamin D, E and K) are required for normal functioning of the body. A well-balanced diet provides daily requirements. Hence, no additional supplement is justified, UNLESS there are features of deficiency.
As mentioned above, a WELL BALANCED (high Protein) diet is the only requirement.
Lastly, She can safely resume her studies now, PROVIDED there is NO undue physical exertion. Let her continue with the same treatment that she is presently on.
Also, her Eosino being 5.3%, get her blood for
microfilaria and stools for worms checked up. (Jharkhand being an endemic region for these conditions).
Hope I have answered your query to your satisfaction. I will be happy to address to further queries, if any.
Fond regards,
Dr. Rakesh Karanwal