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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lack of appetite, nausea and indigestion. Elevated bilirubin levels. Diagnosed with jaundice. Widal test positive for typhoid. Advice?

sir, almost 2 month earlier i have some problem like loss of appetite nausea and indigestion. doctor said for bilirubin and sgpt test.after testing billirubin was found 3.33 nd sgpt 75.8.and dr. said u have suffering from jaundice .nd start treatment with liv 52 and amlycure syrup. and some home remadies like redish juice and sugarcan juice.after two month means now my bilirubin is 1.76 and sgpt 37.but i have same symptom still.i went to next dr. he said for widel test and hb test.after result my widel test was +ve and hb was 11.1. now i have start treatment for typhide.now i want to know is bilirubin and also increases in typhide and what is differene between jaundice and typhide?
Thu, 28 Nov 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for using Healthcaremagic,

After going through all your available details, you had deranged liver function and your symptoms were consistent withviral hepatitis, in fact only Bilirubin and SGPT are available to make exact diagnosis we need to do viral markers and Ultrasonography of abdomen.

Viral hepatitis A or E spread through contaminated water which is likely to be the case in you. These are self limiting diseases and treatment is supportive only.

2 month is long period for Typhoid and widal test is very non specific can be positive in various diseases. Blood culture is better test for Typhoid and clinical examination.

Because you are suffering from 2 months your hemoglobin is slightly low.

Yes Bilirubin and SGPT can increase in both diseases but in viral hepatitis usually they are very high and Typhoid mildly deranged.

You are already recovering from your Hepatitis just take normal diet and vitamins supplementation to improve health.

If Jaundice persist visit a Gastroenterologist and investigate further to rule out chronic hepatitis.

Hope this clears your doubt.

Wish you speedy recovery.
Take care.
Dr.Akhilesh Dubey M.D.


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