Question 1

Dear Sir, I have chikungunya since 2 days. My CBC report shows MCHC 34, Neutrophils 89, Lymphocytes 6, PDW 16, WBC 6499, and Platelet count 260000. My main symptoms are burning on the tongue and throat due to difficulty in eating. What treatment should I take and what is the reason for burning on the tongue and throat? Is it due to the virus or medication? I also have joint pain and sometimes fever.

Question 2

My blood report shows the following liver function values:
Total Bilirubin: 1.96 mg per dL
Direct Bilirubin: 0.19 mg per dL
Indirect Bilirubin: 1.8 mg per dL
SGPT (ALT): 28 U per L
SGOT (AST): 23 U per L
According to the report, my bilirubin levels are slightly elevated, while my liver enzymes are within normal range. My abdominal ultrasound shows Grade 1 fatty liver, and the rest of the findings are normal.

Question 3

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.

My ALT (SGPT) level is 131 in my lab report. Can you please suggest possible reasons for this and what should be done?

ALT of 131 suggests liver inflammation. Common causes include fatty liver, alcohol, hepatitis, or medication side effects. Avoid alcohol, oily foods. Consider liver ultrasound and LFT monitoring.

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