Does Hepatitis A Require Further Medical Tests And Investigation?

Posted on Wed, 14 Mar 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 14 Mar 2018 Answered on

Fri, 22 Feb 2019 Last reviewed on

Question : my son aged 22 was diagonised with Hepatitis A on 12/3/18
HIs Biochemistry results is below
BILRUBIN TOTAL 4.3 mg/dl
BILURUBIN DIRECT 2.9
SGOT 2673 U/L
SGPT 3270 U/L
ANTI HCV NEGATIVE
HAV IgM REACTIVE
ALBUMIN TRACE
URINE BILE SALT NEGATIVE
URINE BILE PIGMENT POSITIVE
medicines prescribed -- Limarin 140 1- 0- 1 (200
Sorbiline Liquid 10 ml td
Udiliv 300 1 daily (15)

sgot
SGPT
s.bIL
AFTER ONE WEEK

mY QUERY IS WHETHER HE NEEDS ANY OTHER INVESTIGATION RIGHT NOW...

BILURUBIN DIRECT 2.9 mg/l
SGOT 2678 U/L
SGPT 3270 U/L
ANTI HCV Negative'
HAV IgM Reactive
Albumin trace
bacteria not seen
URINE BILE SALT Negative
URINE BILE PIGMENT positive

Answered by Dr. V. N. S. Parinam (41 minutes later)

Brief Answer:

Serum Prothrombin time

Detailed Answer:

Hi,

I understand that your son is diagnosed with Hepatitis A Acute infection. This is self-limiting.

Since all other reasons for hepatitis were ruled out you should not worry more about it.

The parameters were high SGOT, SGPT and direct bilirubin. They take time to subside.

My query is whether he needs any other investigation right now.

He does not require any major other tests other than the ones mentioned above.

You can better get Serum prothrombin time now and after one week.

Hope I have answered your query.

Take care

Regards,
Dr Suma Parinam, General & Family Physician

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar