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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes False Negative Result For Jaundice?

Hi Dr. My agr is 24 ..and i m suffering from jaundice ..my sgot and sgpt is incresing and decreasing which causes jaundice .i diagnosed before after that my report shows normal but after one week i am feeling the same as i was earlier and this time my sgot is 45 and sgpt is 82..what does that mean? ..even i m avoiding heavy meal and spicy food nd oilly food ..and my total bilirubin is 1.51 ..plz help me dr.
Wed, 10 Aug 2016
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General & Family Physician 's  Response
Jaundice can occur due to:
•     Viral hepatitis A, B, C, D & E
•     Red blood cell destruction - hemolysis
•     Bilirubin from the liver is unable to move into the digestive tract properly–obstruction
Treatment depends on the cause of jaundice. Jaundice that occurs due to hemolysis may be treated by elevating the iron levels in the blood through iron supplements or with the intake of foods rich in iron. Jaundice due to viral hepatitis B & C may be treated with anti-viral medications. Jaundice due to viral hepatitis A & E is treated conservatively by liver tonics. Surgery may be required in cases of jaundice caused by obstruction. In some cases, jaundice may even develop as a result of, as a side effect from certain medications. In such cases, the jaundice may be treated by altering the dosage or changing the medication. When hepatitis occurs, serum bilirubin, SGPT and SGOT start increasing.
Advice
1.     Take proper rest. Do not involve in strenuous activity for few months.
2.     Make sure that you drink clean, uncontaminated water
3.     Take vegetables and fruit juice.
4.     Avoid alcohol and medicines known to cause liver damage such as paracetamol
5.     Divide your meals into smaller portions and eat them frequently during the day
6.     Avoid oily & spicy food
7.     Investigations – Serum bilirubin, SGPT/SGOT, Hb%, HBV/HCV screening
Thanks
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What Causes False Negative Result For Jaundice?

Jaundice can occur due to: • Viral hepatitis A, B, C, D & E • Red blood cell destruction - hemolysis • Bilirubin from the liver is unable to move into the digestive tract properly–obstruction Treatment depends on the cause of jaundice. Jaundice that occurs due to hemolysis may be treated by elevating the iron levels in the blood through iron supplements or with the intake of foods rich in iron. Jaundice due to viral hepatitis B & C may be treated with anti-viral medications. Jaundice due to viral hepatitis A & E is treated conservatively by liver tonics. Surgery may be required in cases of jaundice caused by obstruction. In some cases, jaundice may even develop as a result of, as a side effect from certain medications. In such cases, the jaundice may be treated by altering the dosage or changing the medication. When hepatitis occurs, serum bilirubin, SGPT and SGOT start increasing. Advice 1. Take proper rest. Do not involve in strenuous activity for few months. 2. Make sure that you drink clean, uncontaminated water 3. Take vegetables and fruit juice. 4. Avoid alcohol and medicines known to cause liver damage such as paracetamol 5. Divide your meals into smaller portions and eat them frequently during the day 6. Avoid oily & spicy food 7. Investigations – Serum bilirubin, SGPT/SGOT, Hb%, HBV/HCV screening Thanks