Question 1

I have been suffering from acute Hepatitis E infection for the past 3 weeks. My liver enzymes have decreased significantly but are still above the normal range. However, my bilirubin has remained very high at 18 for the past 2 weeks, having risen from 2.13 to 6.23 to 18.77. My attending physician has suggested steroids to help reduce bilirubin. Are steroids safe to use in this situation, and if taken, is there a risk of a rebound increase in bilirubin after a few days or weeks? My PT/INR had also increased but is now normal. Please advise on whether I should take steroids.

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Question 2

I have been undergoing treatment for jaundice for the past 1.5 months, but my bilirubin levels are increasing. My current results are: Total bilirubin 20.0, Direct 9.9, Indirect 10.1. On May 30, my levels were: Total 7.8, Direct 3.0, Indirect 4.8. I am taking the following medications: Heptral once a day, Udiliv three times a day, Silybon syrup three times a day, Zevet two times a day, Pan D once a day, Atrax once a day. What should I do next?

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Question 3

I took 100 mg Mazetol for 10 days, and for the next 7 months I did not have any issues. After seven months, the problem recurred along with Widal fever, and I took Mazetol again for 10 days, after which I was fine for 8 months. Now, I have been experiencing the same symptoms for the past 4 days. My liver function test shows serum bilirubin of 3.30, while all other parameters are normal. What could be the cause, and what should I do?

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Question 4

I had viral fever with cough and runny nose. I felt better afterward and got a blood test, which showed bilirubin of 1.27. I took medication and syrup for a week. I did a liver function test yesterday, and the results are: Total bilirubin 1.18 (Direct 0.16, Indirect 1.02), SGPT 49.3, SGOT 20, A:G ratio 1. Am I okay with these results?

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Question 5

Hi, I am very tense as my report shows high PDW, high RDW, low PCT, and high bilirubin. Please see the report and tell me whether this is very serious. I had a kidney stone problem, and most stones were expelled through urine; only one small stone is left. I am having gastric issues. Three months ago, I had severe gastric problems, but after taking rabeprazole for 45 days, the symptoms decreased. My KFT and iron reports are normal. Please advise?

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Question 6

My bilirubin is high in my report. What should I do now? I was diagnosed with COVID 19 last month on the 18th.

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Question 7

Please advise the criticality of this clinical pathology report at present and in the future. What treatment should be taken as prevention is better than cure? My test results are bilirubin direct 0.40 mg/dl with a range of 0 to 0.3, bilirubin indirect 1.4 mg/dl with a range of 0 to 1.1, and bilirubin total 1.80 mg/dl with a range of 0.2 to 1.3.

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Elevated Bilirubin and related queries

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My bilirubin is high in my report. What should I do now? I was diagnosed with COVID 19 last month on the 18th.

LFT (Liver Function) Test

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