Question 1

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?

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?

Question 3

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.

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

Elevated bilirubin can indicate post viral hepatitis or liver stress. Please take a LFT (Liver Function Test) and USG Abdomen to assess liver status.

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