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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Blood In Urine And Stool?

My daughter age 14+ is suffering from hepatitis A. For past two weeks she is under care of Dr.P.K.Mukherjee, MD (Purulia). The bilirubin level went to highest 6.08, SGOT 264.5, SGPT 1003.0 on 01 Sep,... now bilirubin is 2.1, SGOT 60, SGPT 136 on 10 Sep,....USG of whole abdomen done.... Rt lobe of liver is enlarged to 13.8 cm... Consultant Sonologist's impression is " Hepatomegaly with bowel gas artifact shadow" on 7 Sep... my doctor's medicinal prescription is - UDILIV 300, Polybion Syrup & Evict with advice for ABSOLUTE BED REST. Now the problem is - little blood comes with urine & stool, please advise me what to do ? In fact, I wanted to consult with Dr.Monojit Mondal, Gaestronologist at Purulia or Raghunathpur, but on enquiry I learnt that he will not be available for next few days in Purulia / Raghunathpur.
Fri, 18 Jul 2014
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Psychiatrist 's  Response
HI THANKS FOR POSTING YOUR HEALTH QUERY ON HEALTH CARE MAGIC.
GOING BY YOUR CLINICAL HISTORY IT SEEMS EVIDENT THAT DAUGHTER HAD AN ATTACK OF "ACUTE HEPATIC NECROSIS".BUT SINCE THEN HER CONDITION STEADILY IMPROVED WITH THE MEDICATIONS.THIS DISORDER IS KNOWN TO CAUSE LIVER ENLARGEMENT AS A COMPENSATORY MECHANISM TO REPLENISH LOST LIVER DUE TO VIRAL ATTACK.SUCH CASES TEND TO HAVE SOME IMPACT ON THE GUT AND LIVER .THIS BLEED IN STOOL AND URINE WILL RESOLVE BY ITSELF WITH TIME.IN CASE IF IT DID NOT SUBSIDE GET A STOOL TEST PLUS UPPER GASTROINTESTINAL ENDOSCOPY-UGIE TO RULE OUT ANY INNOCCOUS GUT PERFORATION OR PEPTIC ULCERATION.RESTRICT DIET RICH IN PROTEIN MEANWHILE.CONSULT YOUR DOCTOR AT THE EARLIEST IN SUCH A CASE FOR FURTHER MANAGEMENT.
THANK YOU .
TAKE CARE.
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How To Treat Blood In Urine And Stool?

HI THANKS FOR POSTING YOUR HEALTH QUERY ON HEALTH CARE MAGIC. GOING BY YOUR CLINICAL HISTORY IT SEEMS EVIDENT THAT DAUGHTER HAD AN ATTACK OF ACUTE HEPATIC NECROSIS .BUT SINCE THEN HER CONDITION STEADILY IMPROVED WITH THE MEDICATIONS.THIS DISORDER IS KNOWN TO CAUSE LIVER ENLARGEMENT AS A COMPENSATORY MECHANISM TO REPLENISH LOST LIVER DUE TO VIRAL ATTACK.SUCH CASES TEND TO HAVE SOME IMPACT ON THE GUT AND LIVER .THIS BLEED IN STOOL AND URINE WILL RESOLVE BY ITSELF WITH TIME.IN CASE IF IT DID NOT SUBSIDE GET A STOOL TEST PLUS UPPER GASTROINTESTINAL ENDOSCOPY-UGIE TO RULE OUT ANY INNOCCOUS GUT PERFORATION OR PEPTIC ULCERATION.RESTRICT DIET RICH IN PROTEIN MEANWHILE.CONSULT YOUR DOCTOR AT THE EARLIEST IN SUCH A CASE FOR FURTHER MANAGEMENT. THANK YOU . TAKE CARE.