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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Hepatitis And Elevated Liver Enzymes

hello dr i m suffering from hepatitus my alt is117 & my bliurobin is 139 from last 2 months it is still condition dr advise me liver biopsy on the report comes and it shows (openion: Chronic Hepatitis with mild active no fibrosis) i already tested my hepatitis B & C which is negative now tell me what to do
Wed, 11 May 2016
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General & Family Physician,  's  Response
Hi thanks for contacting HCM....

Noted you have chronic hepatitis .....
Your hepatitis b and c negative....

So following can be the cause......
-non alcoholic steatohepatitis
-alcohol hepatitis
-alpha 1 antitrypsin deficiency
-Wilson disease
-autoimmune condition
-drug induce

Rule out above causes by detail history and work up....
From biopsy sections IHC or special stain can be done to rule out alpha 1 antitrypsin deficiency or Wilson dz
Symptom of other systems also searched for.....

If autoimmune condition present immunosuppressive drug needed.

If abdominal pain and diarrhea with gluten diet then celiac disease ruled out....

Meanwhile low fat diet needed.
One tsp Cumin seed powder with buttermilk can be taken....

Take care.

If needed final treatment is transplantation..

Dr.Parth
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Suggest Treatment For Chronic Hepatitis And Elevated Liver Enzymes

Hi thanks for contacting HCM.... Noted you have chronic hepatitis ..... Your hepatitis b and c negative.... So following can be the cause...... -non alcoholic steatohepatitis -alcohol hepatitis -alpha 1 antitrypsin deficiency -Wilson disease -autoimmune condition -drug induce Rule out above causes by detail history and work up.... From biopsy sections IHC or special stain can be done to rule out alpha 1 antitrypsin deficiency or Wilson dz Symptom of other systems also searched for..... If autoimmune condition present immunosuppressive drug needed. If abdominal pain and diarrhea with gluten diet then celiac disease ruled out.... Meanwhile low fat diet needed. One tsp Cumin seed powder with buttermilk can be taken.... Take care. If needed final treatment is transplantation.. Dr.Parth