What causes nausea and headache while having fluctuations in the SGPT and bilirubin levels?
Patient: My SGPT levels deceased from 68 to 53 but my bilrubin levels are elevated from 2.34 to 3.10,should I be worried,AST & ALT are all normal & m not feeling nauseous, fever or headache it s just from 4 days m also suffering from loose motion but it s only for 1 time in a day. Doctor: Hello,  The bilirubin level can fluctuate in case of liver hepatitis.   You need to investigate with a viral profile for hepatitis and ultrasonography abdomen to guide you further.   Kindly revert back with that two reports.   Meanwhile, avoid high fatty foods and take more fruit juice.  The sugar cane juice, apple juice, lemon water etc beneficial in reducing your jaundice.   Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Parth Goswami, General & Family Physician