Question 1

My brother was experiencing stomach ache and indigestion about a week ago, and he noticed his stool was greenish in color. We consulted a doctor, who advised some tests. His report shows that his liver is 14.9 cm long, which is about 4 cm larger than normal. The USG report also indicates an enlarged spleen. He frequently suffers from indigestion. Please advise what could be the cause and the next steps for evaluation or treatment

Question 2

I have been experiencing body pain and fever. My doctor suggested a blood test for dengue (IgG/IgM/NS1), SGPT/SGOT, and CBC, as these symptoms could indicate a dengue infection. My test results are as follows:
Dengue IgG/IgM/NS1: Negative
SGPT: 161
SGOT: 158
CBC report: attached
Could you please advise whether I have a dengue infection or if it might be something else?

Question 3

Hello doc, I am 33 weeks pregnant and as per my kidney and liver function test report, a few things are out of range. Please suggest. Liver and Kidney Panel, Serum report: AST (SGOT) 258.0 U/L ref: less than 35.00, ALT (SGPT) 592.0 U/L ref: less than 35.00, GGTP 55.0 U/L ref: less than 38.00, Alkaline phosphatase (ALP) 151.0 U/L ref: 30.00 to 120.00.

My daughter has been diagnosed with jaundice caused by the Hepatitis A virus. Additionally, her blood report shows a positive result for typhoid. Kindly suggest an effective treatment plan.

Hepatitis A and typhoid can co occur and are treatable with rest, fluids, and specific antibiotics. Recovery may take 2 to 3 weeks. Ensure hygiene and liver friendly diet.

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