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What Does This Blood Report Indicate?

Posted on Wed, 7 Oct 2015

Question: hello my sister age 35 is diagnosed with jaundice. below are her blood test:
total bilirubin: 4.16 mg/dl
direct bilirubin: 2.56
indirect bilirubin: 1.60
sGPT: 232
she is vomiting lot. she on iv fluid

Answered by Dr. Prashant (53 minutes later)

Brief Answer:
vomiting is because she is having hepatitis

Detailed Answer:
Hi,
I have checked your sisters reports, she is having some sort of hepatitis but we cant establish the cause, because HbsAg and HCV are non reactive.
Basically the jaundice will come down automatically but it may take 2 to 3 weeks time.
If possible get an ultrasound abdomen to know the liver status and vit B12 levels ,because her haemoglobin is also low .
Till then give her tab udiliv 300 mg twice a day
Tablet Rifagut 400mg twice a day.
Syrup duphalac 15 ml in night.
Avoid spicy and oily food .
Please don't take any form of ayurvedic or any medications apart from what I prescribed because even drugs can cause hepatitis and it may aggravate.
Hope this information helps you
thank you

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Prashant (1 hour later)

I have attached sonography and its findings. also attached medicine prescribe. request you to have a look. please suggest if any more test are required. I will request dr. here. also I will consult your medicine with available Dr. vomiting is coming every 30min.

Answered by Dr. Prashant (11 hours later)

Brief Answer:
these all symptoms may be because of hepatitis

Detailed Answer:
Hi,
These all symptoms are because of hepatitis ,even though vit B12 levels should be checked once .
but what ever the medications I have prescribed should improve your symptoms ,but get an endoscopy to rule out varices .
Thank you

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Above answer was peer-reviewed by : Dr. Vaishalee Punj