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Asking for Husband, Male, 28 years old, Karachi
This is my husband's lft report,, recently he was admitted in hospital because of high fever and swelling in gallbladder.. dr. Given him antibiotics, now Alhamdulliah fever wasn't coming back.. but his spgt is still high, ultrasound report is also fine, most likely resolving cholecystitis.. He is taking medicines for this. kindly suggest me what things we have to avoid and what should he has to eat to decrease his spgt level
One antibiotic cover is completed like cefuroxime light diet with no spicy and give silimarin for 4 weeks
Patient
Post Owner
Ok dr. Thank u so much
Actually he was taking medicines for reactive arthritis which was quite heavy doses 2000 mg per day and before that dr. Gave him deltacarlton. Can it be the reason of this?
hi
sorry to hear about husband health. The reports shown are fairly concerning and doesn't reflect good health of liver .in particular very high ALT suggestive of acute liver insult. This needs detailed history and assessment, though based on limited information i guess this is reflective of acute viral injury rather gallstones related issue.Usg is usually normal in such acute insults.
he need repeat of his LFTS with a complete liver screen including hepatitis profile and functional status of the liver.All medications should immediately be stopped as these can be an additional responsible factor to make the matters worse due to hepatic clearance of vast majority of abx.I guess food /parhaiz is least of an issue where there is always a risk of going into acute liver failure with such rise in enzymes as the reflect hepatic damage and level 20 times higher than upper limit is worrying.please do see some sensible and sincere hepatologist for further advise .if you want to discuss with me i am happy to talk to your husband 042-32591427,
regards
Dr.Kashif Ija Ahmad
MBBS, MRCP(UK), MRCGP(UK), FRSPH, CCT, PGDip (london)
Consultant family medicine and diabetes
PS
i see a mention for reactive arthritis if he is on methotrexate most likely methotrexate induce hepatitis. please stop all medications immediately as at present risks outweigh benefits
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