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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Hepatitis E Be Treated?

My wife aged 55 has been diagnosed as Heaptitus E. Her sgot & sgpt levels are ~ 1200. How long is it expepect that the these levels will come down & will be close to the normal range of 40. She is under treatment as per doctors advise, since the last 3 day
Mon, 27 Nov 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern.

1. As she is already under medical supervision thus the treating physician must have given due consideration in arriving at the diagnosis, so I at most can leet you know about certain facts related to Hepatitis E;

- Severity is usually mild and chronicity is none [good prognosis]
PS. mortality is very high in women in the last trimester of pregnancy]

- As hepatitis E and A are spread through fecal oral route, thus make sure transmission with Hepatitis A is excluded and check the values [if possible] since if increasing there could be an ongoing hepatocellular injury like superadded infection which can cause liver dysfunction, since mine concern would be viral hepatitis A and if the values are increased or you notice loss of appetite, nausea, vomiting, it could be a case of Hepatitis A.

PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don't signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed.

3. preventive measures which you can adopt

- maintain personal hygiene and cleanliness.
- boiled water or bottled water.
- strictly no alcohol, painkillers [except paracetamol]
- immunization against Hepatitis A & B

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How Can Hepatitis E Be Treated?

** Thanks for contacting with your health concern. 1. As she is already under medical supervision thus the treating physician must have given due consideration in arriving at the diagnosis, so I at most can leet you know about certain facts related to Hepatitis E; - Severity is usually mild and chronicity is none [good prognosis] PS. mortality is very high in women in the last trimester of pregnancy] - As hepatitis E and A are spread through fecal oral route, thus make sure transmission with Hepatitis A is excluded and check the values [if possible] since if increasing there could be an ongoing hepatocellular injury like superadded infection which can cause liver dysfunction, since mine concern would be viral hepatitis A and if the values are increased or you notice loss of appetite, nausea, vomiting, it could be a case of Hepatitis A. PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don t signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed. 3. preventive measures which you can adopt - maintain personal hygiene and cleanliness. - boiled water or bottled water. - strictly no alcohol, painkillers [except paracetamol] - immunization against Hepatitis A & B