Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
What Is The Treatment For Sickle Cell Disease With Pain In The Liver?
hi my daughter has sickle cell disease. She has been having pain in her liver area, sometime intense and at othe times mild. done tests and dr says she has hepatomegaly. the liver function tests shows that SGOT is 47 ul/i. Others are normal. She has taken a course of antibiotics (cefuroxime) for 5 days. lactate dehydrogenAase is also 302 u/l. this pain is still there. Any help? age is 22, female.
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What Is The Treatment For Sickle Cell Disease With Pain In The Liver?
Hi thanks for contacting HCM... Sickle cell anemia is hemoglobinopathy that can lead hemolytic anemia and so liver can be enlarged.... Investigate with peripheral smear and retic count to judge severity. Here by some infection like precipitating factors sickle crisis can occur... Folic acid given as supplement if needed. Hydroxyurea can given as they elevate HBF and help in crisis.... If needed then anti adherence therapy like nitric oxide might needed. Along with symptomatic management done. Maintain hydration... With keeping these in mind consult physician for examination as follow up after completing antibiotic.... Take care Dr.Parth goswami