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.

Answered by 1 Apollo Doctors

Dr Ezhilarasan Ml

General Practitioner

MBBS
6+ Yrs

Consult Now

Steroids are rarely used for Hepatitis E, only in complicated or cholestatic cases. Bilirubin of 18 is high but may reduce gradually without steroids. Use steroids only under liver specialist advice. Repeat LFT, PT/INR, and Bilirubin (Direct/Indirect) to monitor.

Dr. Ezhilarasan Suggests...

Take a LFT (Liver Function) Test Test or Take a Bilirubin Serum - Total/Direct/Indirect Test

Book LFT (Liver Function) Test Test Book Bilirubin Serum - Total/Direct/Indirect Test

Answered 15 days ago

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