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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication for hepatitis B

hi,i m 50 years old,i am a patient of hepatitis b ,i used silliver 200mg tablet but i feel not better improvement .plz recomend me a good dosage to cure myself . glucose level is 278mg/dl direct or indirect billirubin is high than the normal range. doctor you suggest me a good diet or tablet to cure my health,
Thu, 2 Feb 2017
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Ayurveda Specialist 's  Response
Thanks for contacting HCM with your health concern

1. As you are a patient of hepatitis B, and found no improvement with oral tablets, it seem possible to be a case of chronic hepatitis

2. and although prognosis is not bad but is worse with increasing age. [indicated by high and fluctuating level of glucose,bilirubin]

PS. patient with chronic hepatitis need specific treatment with Interferons. [consult with Hepatologist.

3. According to Ayurveda the condition falls under 'Raktavaha Srotovikara', thus hepato protective drug: bhumyamalaki [phyllanthus niruri] is good for shaman [palliative] purpose

PS. phyllanthus niruri, helps prevent replication of HBV [hepatitis B virus] thereby preventing viraemia.

Other single Drug which you can ask is/are: Manjistha, katuki, bhringraja, Koshaphala, Kushtha [Liv 52-Livomyn-Cirrholiv: has all the said ingredients in it and thus also acts as Hepato protective], thus you may use phyllanthus niruri as single drug [in powder form] and Liv 52 in syrup form .

. check with liver enzymes [SGOT/SGPT/Alkaline Phospahatase] and Serum Bilirubin level monthly to know about the health status of liver
. Complete bed rest is very essential, till bilirubin is less than 1.5 mg%
. boiled water for all at home.
. personal hygiene and cleanliness
. avoid close physical contact, avoid alcohol,sharing combs/razors.
. fat free diet, high carbohydrates, no oil/ghee and fried foods
. plenty of sweets, sugar, sugarcane juice.
. all hepatotoxic drugs should be stopped [ask for exhaustive list from your doctor]
. Regular surveillance on clinical parameters as well as liver function tests.

PS. Vitamin K may be given for 3 consecutive days.

. Take: old brown rice, moong/masoor/arhar dal, raw papaya/ banana, bitter gourd,potato,amla, pomegranate,black grapes, apple, mango, haritaki,butter milk,guduchi,orange juice,bottle gourd,radish,rest

Avoid: deep fried/oily food,peas,urad dal,mustard oil,spices,hinga,white sesame seeds,heavy food, day time sleeping, exercise,excessive anger/drinking water, chick pea flour.
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