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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Abdominal Pain. Vomited After Taking Pain Killers. Abnormal Levels Of SGPT, SGOT And Bilirubin. Advice?

HI Im 24 years old.i had a terrible abdominal pain specifically in the stomach area, i went to a clinic and the the nurse injected me a pain killer first shot,5 mins after drugs not yet effect,they injected me again 2 shots..after 2 hours i vomited.pain slowly subside.after 10 hour i had blood test .test result SGOT/AST 1015,SGPT/ALT568, GAMMA GT 393, BILIRUBIN 1.8,AMAYLASE 72.What all this mean?pls help im worried.thank u
Wed, 8 Aug 2012
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Emergency Medicine Specialist,  's  Response
Hello

Going by the acute pain abdomen and deranged Liver Function Tests, I suggest you get a couple of investigations done at the earliest:
1. Ultrasound abdomen
2. blood tests: Viral markers of hepatitis, serum lipase, complete blood count, serum creatinine
3. blood culture
4. routine urine examination
In case you are having fever what evidence based medicine says is that in case you do a blood culture ,it is far superior that getting widal tests and other such tests.
After getting the reports can we arrive at a definite diagnosis.
At present probably it is a case of acute hepatitis ? viral hepatitis
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Severe Abdominal Pain. Vomited After Taking Pain Killers. Abnormal Levels Of SGPT, SGOT And Bilirubin. Advice?

Hello Going by the acute pain abdomen and deranged Liver Function Tests, I suggest you get a couple of investigations done at the earliest: 1. Ultrasound abdomen 2. blood tests: Viral markers of hepatitis, serum lipase, complete blood count, serum creatinine 3. blood culture 4. routine urine examination In case you are having fever what evidence based medicine says is that in case you do a blood culture ,it is far superior that getting widal tests and other such tests. After getting the reports can we arrive at a definite diagnosis. At present probably it is a case of acute hepatitis ? viral hepatitis