Question 1

About 10 days ago, I tested positive for typhoid. However, I did not have a fever, my main symptoms were weakness, vomiting, and gastric issues. My Typhi Dot IgM was positive, and the titre was slightly elevated. I took Doxcef O for 10 days and also received the typhoid vaccine. Despite this, I still feel like vomiting after eating, and I am experiencing leg pain and overall weakness. This is the first time I have had typhoid, and someone mentioned that I might have become a chronic carrier, which has made me anxious. Is this a serious issue, or can it be fully cured? How long does recovery usually take? I have attached my report for your review.

Question 2

Sir, my direct bilirubin is high and I have occasional right rib cage pain and yellow stool. I have tested LFT and in that report direct bilirubin is high, GGT and ALP are normal, and AST and ALT are slightly high. What can this be? Is it bile acid synthesis disorder where direct bilirubin is high with normal GGT and ALP? I am attaching all my reports including fibroscan which shows 8.12 kPa.

Question 3

I recently reviewed my blood tests and found the following issues dyslipidemia, elevated liver enzymes, grade 2 fatty liver on USG, and high uric acid. After one month of medication, my follow up report shows total cholesterol at 97, liver enzymes mostly normal (ALT slightly high but lower than before). However, I am experiencing significant weight loss and muscle loss, my current weight is 65 kg, down from 73 kg two months ago. My doctor has diagnosed these as post COVID effects, although I was asymptomatic and unaware of when I was infected.

What is the normal range for bilirubin measured 3 hours after eating? I have attached my test report. Please tell me if my result is high or a cause for concern.

Post meal bilirubin can vary slightly. If its mildly high and you have no symptoms, it is usually not serious. Consult if persists.

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