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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Nausea And Fever. Abnormal Bilirubin Levels In The Blood Test. Initial Stage Of Jaundice?

I am 24 yrs old.Previous 2 days i am suffering with the feelings of bomiting but nothing is coming out and also fall in fever but it has recovered just one medicine.Then today i visit nearest physician and after blood test the report is as follows.... BILIRUBIN TOTAL: 1.0 mg/dl BILIRUBIN DIRECT: 0.34 mg/dl.The doctor has suggested me that its an initial stage of Jaundice .Is it true?
Wed, 8 Aug 2012
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Internal Medicine Specialist,  's  Response
Hi pal,

Welcome to healthcare magic!
Your liver function test does support the diagnosis of jaundice although you have not told the SGOT/SGPT Report-if they are also normal then probably you don't have hepatitis also. But if if the liver enzymes are raised then your doctor is right that is the initial phase of jaundice.
Your fever and jaundice(if it is there really) are symptoms of the disease and not the disease itself.
You may be having hepatotropic viral infection, malaria, cholangitis, enteric fever as a cause behind the syndrome.
You need a physical examination by your physician and get base line investigations like
Chest X Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test,
Repeat Liver Function Test, Ultrasound Abdomen, Urine Compete Examination.
This work up is expected to detect the underlying problem so a definite treatment could be started.
I hope this advise would be helpful for you.
Still if you have any queries or doubts, please write me back,
I would be happy to solve them.

Wish you a great health!
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General & Family Physician,  Dr. Ganesh Dhakappa's  Response
Hi.
Thanks for choosing HCM.
Your report points to early liver dysfunction which leads to Jaundice.
However there are other causes, like some medicines being taken, herbal products being consumed etc which can cause this.
Get in touch with your doctor & follow the advice. Avoid fatty foods[fried, oily foods]
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Suffering From Nausea And Fever. Abnormal Bilirubin Levels In The Blood Test. Initial Stage Of Jaundice?

Hi pal, Welcome to healthcare magic! Your liver function test does support the diagnosis of jaundice although you have not told the SGOT/SGPT Report-if they are also normal then probably you don t have hepatitis also. But if if the liver enzymes are raised then your doctor is right that is the initial phase of jaundice. Your fever and jaundice(if it is there really) are symptoms of the disease and not the disease itself. You may be having hepatotropic viral infection, malaria, cholangitis, enteric fever as a cause behind the syndrome. You need a physical examination by your physician and get base line investigations like Chest X Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Repeat Liver Function Test, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem so a definite treatment could be started. I hope this advise would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health!