Resolved question:
My son (24 yrs., 75 Kgs,) has been suffering from jaundice for the last ten days. Initially, he was diagnosed for acidity and was given
1.LCZ Mont - once daily 2. Nexpro 40 - BBF daily, and 3. Domeperidone - once daily for 5 days
On 17/02/2014 when an LFT was done, the report was as follows
Serum Bilirubin - 13.1
Conjugated (D. Bilirubin) - 8.7
Unconjugated (I D Bilirubin) - 4.4
SGOP/AST - 219
SGPT/ALT - 450
Alkaline phosphate - 338
Total Protein - 7.1
Albumin - 4.3
Globulin - 2.8
A/G Ratio - 1.5 : 1
GGTP - 380
He was prescribed
Ursocol (300) - twice daily
Nexpro 40 - BBF
on 24/02/2014, his Biochemistry and Immunology-Serology Report revealed the folowing
Serum Bilirubin - 14.4
Conjugated (D Bilirubin) - 10.1
Inconjugated (i D Bilirubin) - 4.3
SGPT/ALT - 140
Hepatitis B Profile
HBs Ag - Negative
Heptitis Profile
Hepatitis 'A' Virus IgM - Negative
Since then, the medicines as noted above has been discontinued and now he is being administered
1 Sorbilin - Before meals thrice daily
2. Prednisolone (5mg) - 1x4 -2 days, 1x3 - 2 days, 1x2 - 2 days and 1x1 -2 days
3, Tetracycline 500 mg - twice daily for 5 days
But the symptoms still persist. He is being given normal meals without oils and spices apart from sugarcane juice and fruits and juices. He does not have any feeling of weakness or exhaution.
Please let me know whether we should continue with the medication as noted above? What are the dangers indicated by his pathological conditions? If not, what needs to be done further
Submitted:
4 Days
Category:
Hepatologist
Hi,
Thanks for posting your query at DoctorSpring. I am Dr.R.K and I am pleased to assist you.
Your son's liver function test is quite abnormal. He is negative for hepatitis B and A. He needs further testing to find the cause. The next few tests to be done are ultrasound scan of abdomen, PT/INR, tests for hepatitis C and E, serum ceruloplasmin,ferritin, ANA,AMA. Further management depends on the test report. Please stop prednisolone and tetracycline.
Please consult a gastroenterologist in your area for these tests and further management.
I hope that answers your question. Please let me know if I can assist you further.
Regards. ,
Dr.R.K