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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Was Consuming Excessive Alcohol, Now Have High Bilirubin And Fat Liver. On Lameta-S, Nusam. Liver Function Test High. Swollen Leg. Treatment?

hi doctor, my husband previously took excessive alcohol, and now he is having high bilirubin and fat liver. Last month we went to India for treatment. Doctor gave him Lameta-S, Nusam 200, Ursocol 300. Last week we took liver function test and the value is still showing high :
albumin:28* (normal range 35-50), globulin:47*(normal range 22-40), alb/glo ratio:1.7(normal range:1.0-2.2), bilirubin:107* (normal range:up to 24), SGOT/AST:69*(normal range:up to 40), SGPT/ALT:23(normal range:up to 54). This test taken in Malaysia. Doctor pls help to clarify on this I am too worried for him, besides that he is having swollen in his both leg. His hemoglobin level drop down.
Tue, 18 Jun 2013
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Addiction Medicine Specialist,  's  Response
Hi,

I take it that your husband is no longer drinking. You mention that his haemoglobin is low but have not mentioned the value. The abnormalities in his liver function tests are not too significant and will improve with time, provided he remains abstinent. But the low haemoglobin level is of concern as it aggravates the swelling in feet. So ensure that he takes adequate iron and vitamins to counter the anemia and consult your doctor for supplements. You are likely to see further improvement within a couple of months. Please keep in mind that abnormal albumin levels indicate the status of the liver over the last few months and so take months to come back to normal.

Hope this has been of help. Best wishes.
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Was Consuming Excessive Alcohol, Now Have High Bilirubin And Fat Liver. On Lameta-S, Nusam. Liver Function Test High. Swollen Leg. Treatment?

Hi, I take it that your husband is no longer drinking. You mention that his haemoglobin is low but have not mentioned the value. The abnormalities in his liver function tests are not too significant and will improve with time, provided he remains abstinent. But the low haemoglobin level is of concern as it aggravates the swelling in feet. So ensure that he takes adequate iron and vitamins to counter the anemia and consult your doctor for supplements. You are likely to see further improvement within a couple of months. Please keep in mind that abnormal albumin levels indicate the status of the liver over the last few months and so take months to come back to normal. Hope this has been of help. Best wishes.