Suggest treatment for mild chronic hepatitis
Patient: i am a patient of liver diseases. I nee some help for treatment.  I am Mizanur Rahman 37 years old, Sex- Male, from Bangladesh.Investigation of liver disease report are as follows:SGPT (ALT) -79 (05-08-2011), SGPT-94 (11-07-2011) SGPT always up and down 60 to 94 from 2008.Liver Biopsy- Mild chronic hepatitis, HAI- 7, Knodell Score : 8Microscopic appearance: Sections of liver reveal moderate piecemeal necrosis with a few tiny foci of lobular necrosis. The portal areas contain increased number of chronic inflammatory cells and show periportal fibrosis.Anti-smooth muscle antibody : NegativeCeruloplasmin Blood Serum: 462  Normal value (280-570)Anti Nuclear antibody (ANA) : Negative by ELISALipid Profile : Cholesterol (Total): 180 mg/dl, Normal value (120-200)HDL-Cholesterol: 37mg/dl normal value > 35.00LDL-Cholesterol : 116.40mg/dl Triglycerides : 133mg/dl Normal value fasting 10-190hTSH : 2.61 ulU/ml Normal value adults 0.47-5.01Ferritin : 142.80 ng/ml Normal male adult 20-300I as also a patient of Muscular dystrophy (Myopathy):Muscle, calf (biopsy): Features are compatible with myopathy.I have take Treatment : Medicine 1. Laevadosin 2 + 0 + 2 (The medicine was made by Austria, but I cannot manage it)Medicine 2. BIO-E (Vitamin E) : continued.Please suggest me.Thanking you. Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Elevation in liver enzymes has many causes apart from which you have already got. Like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.I hope I have answered your query and this will help you . Wish you a good health