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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Jaundice. Blood Tests And Liver Scan Done. What Type Of Diet Or Medicine Will Help?

Hi, I am 30 year old male and non-alcoholic. I am on medication for Jaundice for the past 2 months. First blood test on 11th Feb 2013 showed my Total Bilirubin: 4.9mg, SGOT:499U, SGPT:430U and hepatitis B as negative. I was advised to take Liv52 DS and Limarin 140mg twice a day for 1 week. The next blood test on 16th Feb showed my Total Bilirubin: 8.6mg, SGOT:71U, SGPT:51U. With the same medication the next blood test on 22nd Feb showed my Total Bilirubin: 10.6mg, SGOT:30U, SGPT:92U.
So I was advised to take further blood tests and USG (Abdomen) on 22nd Feb. The results were Alkaline Phospatase 52IU/L and HCV negative. In Scan my liver size was CBD: 3mm and PV: 11mm and Gall Bladder contracted. Then I was prescribed URSOCOL 150 mg along with Liv52 DS twice a day and was asked to do blood test every 2 weeks. The results with the date is given below
9th Mar showed my Total Bilirubin: 3.4mg, Direct Bilirubin: 1.9mg, SGOT:59U, SGPT:92U
23th Mar showed my Total Bilirubin: 2.0mg, Direct Bilirubin: 0.9mg, SGOT:75U, SGPT:128U
6th Apr showed my Total Bilirubin: 1.6mg, Direct Bilirubin: 0.5mg, SGOT:99U, SGPT:137U
Now I am advised to take only Liv52 DS twice a day but I am having a small pain on the left side near my lower rib. Please advise whether any diet should be taken or any medication is required.
Wed, 24 Apr 2013
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Gastroenterologist,  's  Response
Hello,
sujith.ramakrishnan,
I am glad that your Hepatitis B and C tested negative. I am also
glad that you are not an alcoholic. Sonogram shows a contracted
gallbladder which could be from chronic inflammation. No mention
of stones.I am not sure if the doctors have ruled out autoimmune
hepatitis by doing special blood tests such as ANA , Anti-DNA,
Smooth muscle antibodies,Complement levels, Anti Mitochondrial
antibodies etc. These are important because the treatment is different.
As for your current enzyme levels and bilirubin levels , they are
improving. SGPT is somewhat slow to come down and so is Alkaline
phosphatase. Your current medications URSO and Liv52 seem to be
working. As for diet, I suggest you avoid fatty, greasy and fried foods.
A healthy high protein diet with enough carbohydrates (Sugar) is good.
I also recommend Vit-E 800 i.u. daily and Vit-C 1000 mg. daily along
with a good B-Complex Vitamin.
I wish you the very best.
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Suffering From Jaundice. Blood Tests And Liver Scan Done. What Type Of Diet Or Medicine Will Help?

Hello, sujith.ramakrishnan, I am glad that your Hepatitis B and C tested negative. I am also glad that you are not an alcoholic. Sonogram shows a contracted gallbladder which could be from chronic inflammation. No mention of stones.I am not sure if the doctors have ruled out autoimmune hepatitis by doing special blood tests such as ANA , Anti-DNA, Smooth muscle antibodies,Complement levels, Anti Mitochondrial antibodies etc. These are important because the treatment is different. As for your current enzyme levels and bilirubin levels , they are improving. SGPT is somewhat slow to come down and so is Alkaline phosphatase. Your current medications URSO and Liv52 seem to be working. As for diet, I suggest you avoid fatty, greasy and fried foods. A healthy high protein diet with enough carbohydrates (Sugar) is good. I also recommend Vit-E 800 i.u. daily and Vit-C 1000 mg. daily along with a good B-Complex Vitamin. I wish you the very best.