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My Father Aged 67 With Diabetes And Blood Report Showed Bilirubin At 6.7mg/dl, Elevated Levels Of SGOT, SGPT

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Posted on Wed, 24 Jul 2024
Question: Good Morning Sir,
My father aged 67 with Diabetes and Hypertension has suffered from Obstructive Jaundice from 2 weeks.
The blood report showed Bilirubin at 6.7mg/dl, elevated levels of SGOT, SGPT.
But his Ca19-9 came at 194 u/l ( Normal <37).
Abdomen USG was normal.
Two days later, his Jaundice symptoms started subsiding.
Upon consultation with Gasteroenterlogist, ordered again blood tests and MRI With MRCP.
His bilirubin came down to 1.8 (normal <1.2),
Ca19-9 came at 73u/l (normal <27).
His MRI with MRCP showed Galbladder stones.
MRI +MRCP report is attached herewith.
My question is,
1. Is it still required to under go removal of Galbladder even in the absence of any pain
2. I request you to kindly check MRI scan reports in view of Ca19-9 levels. More over Ca19-9 levels came down from 194 to 73u/l with in less than 1 week without any treatment.
Thanking You, Sir
Yours Sincerely.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
Please upload the MRCP and LFT reports.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (9 hours later)
Sir, Reports are attached herewith.
During Jaundice time,
His Bilirubin was 4.4, 6.6 and after 4 days it came down to 1.8.
Ca19-9 was 194 during jaundice. He is a moderate smoker. He quit smoking for 1 week during jaundice
(presently also) and his ca19-9 came down to 73 in 4 days.
His MRI With MRCP is attached herewith.
Is his elevated Ca19-9 is only due to smoking and gallstones?
Regarding Gallstones, he is completely out from his Jaundice symptoms. Is it OK if we wait and see before taking any decision on Gallbladder removal?
Thanking You Sir.
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Follow up: Dr. Dr.P.Ratnakar Kini (4 minutes later)
Sir, just to add,
He is on Diabetic medications for the last 32 years, on Hypetension medicines for last 8-10 years.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (3 days later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Sorry for the late reply.
I went through the reports.

He is having gallstones and sludge.
Probably he had stones in the bile duct which has passed out and this would explain his obstructive jaundice /abnormal liver function test.
Ca 19-9 elevation does not appear to be due to cancer.
There is always a risk of recurrence of symptoms.
So it is ideal to get the gallbladder removed which is the source of stones causing obstruction/jaundice.
Regards,
Dr,R.K
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2211 Questions

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My Father Aged 67 With Diabetes And Blood Report Showed Bilirubin At 6.7mg/dl, Elevated Levels Of SGOT, SGPT

Brief Answer: Need more information Detailed Answer: Hi, Thanks for posting your query. Please upload the MRCP and LFT reports. Regards, Dr.R.K.