Suggest treatment for elevated liver enzymes and edema of legs
Patient: Hi Docs my dads is a non alcoholic and is positive for hep-b. His SGOT is 90, SGPT is 75, Total bilirubin is 5.7, direct bilirubin 3.4; he is passing dark colored urine once in a day and othertimes it is normal colour. Has odema of legs on and off. Can u please suggest what we treatment he needs. Thank u very much in anticipation. Doctor: Hello,1) Dark color of urine is due to high bilirubin (Jaundice)2) Edema of legs suggest less amount of protein in body because of less production by liver. This also cause collection of fluid in stomach (ascites)3) Status of hepatits-B positive + jaundice + less protein suggest possibility of cirrhosis of liver. This condition is irreversible and only option for possible cure is liver transplantation4) Till liver transplantation he need some medicines to support liver function and to slow the progression of disease.5) Also he need some investigations for evaluation of extent of disease (CT scan abdomen, upper GI endoscopy)6) I suggest to consult medical gastroenterologist or hepatologist for proper evaluation and staging of disease so that appropriate treatment will be started.