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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High SGPT Levels When Diagnosed With Dengue Fever?

On 1st Nov my mom got fever for, dengu symptoms were not there and fever vanished after 1st day, however she was very weak and dehydrated, doctor suggested give her saline and oral fluid, these continued for 4th when we first measured dengu ns1 positive, Platelates count 196k, soon it dropped to 40000 on 7th and was hospitalized, on 8th total bilirubin was 0.8, however sgpt and sgot was 91 and 112 respectively, usg report: liver enlargement, heatomegaly, right pleural effusion and ascetics, today Platelates is 192k again. Female, age 60. My question is this normal to have a high sgpt and sgot at this stage? How should I know if liver is in ok, pls suggest next step from this stage?
Tue, 5 Dec 2017
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General & Family Physician 's  Response
Hello,

Thanks for your query on HCM

"As"per your clinical history is concerned nothing to be worried at all so follow like this -

1)Drink plenty of fluids if orally is not enough then she can be given in vein.

2)For pain talk with your Doctor to give [Paracetamol]orally or in Intramuscular.

3)Do check her blood pressure every 3 hours and give blood transfusion if required.

To prevent infection in future follow like this -

1)Stay in well-screened housing. It's particularly important to keep mosquitoes out at night.

2)Try to avoid being outdoors at dawn, dusk and early evening, when more mosquitoes are out.

3)Wear protective clothing. When you go into mosquito-infested areas, wear a long-sleeved shirt, long pants, socks and shoes.

4)Use mosquito repellent. Permethrin can be applied to your clothing, shoes, camping gear and bed netting. For your skin, use a repellent containing at least a 10 percent concentration of [DEET].

5)Reduce mosquito habitat. The mosquitoes that carry the dengue virus typically live in and around houses, breeding in standing water that can collect in such things as used automobile tires. Reduce the breeding habitat to lower mosquito populations.

Hope that helps
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What Causes High SGPT Levels When Diagnosed With Dengue Fever?

Hello, Thanks for your query on HCM As per your clinical history is concerned nothing to be worried at all so follow like this - 1)Drink plenty of fluids if orally is not enough then she can be given in vein. 2)For pain talk with your Doctor to give [Paracetamol]orally or in Intramuscular. 3)Do check her blood pressure every 3 hours and give blood transfusion if required. To prevent infection in future follow like this - 1)Stay in well-screened housing. It s particularly important to keep mosquitoes out at night. 2)Try to avoid being outdoors at dawn, dusk and early evening, when more mosquitoes are out. 3)Wear protective clothing. When you go into mosquito-infested areas, wear a long-sleeved shirt, long pants, socks and shoes. 4)Use mosquito repellent. Permethrin can be applied to your clothing, shoes, camping gear and bed netting. For your skin, use a repellent containing at least a 10 percent concentration of [DEET]. 5)Reduce mosquito habitat. The mosquitoes that carry the dengue virus typically live in and around houses, breeding in standing water that can collect in such things as used automobile tires. Reduce the breeding habitat to lower mosquito populations. Hope that helps