Dr. Ghulam Fareed
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My partner is 48 years old, weighs 187 lbs, and is an alcoholic. He has been unwell for the past six months. He is suffering from fatigue and rashes on the face and chest; intermittently, he suffers from muscle pain, shivering, and dark urine. The doctor advised taking liver function tests which revealed serum glutamic-oxaloacetic transaminase (SGOT) - 36, serum glutamate pyruvate transaminase (SGPT) - 56, SGOT - 42, SGPT - 83, SGOT - 40, SGPT - 77, and SGOT - 45, and TGP - 79 for the past three to four months. He is negative for all types of hepatitis infections. He has been taking Cynasine for the past two days, which the doctor prescribed. He woke up with severe pain last night. Is it because of the medication? The doctor suspects alcoholic hepatitis and advised him to stop taking alcohol. He has cut down alcohol consumption but not completely.
Thank you.
Hello,
Welcome to icliniq.com.
I reviewed your case history and attachments (attachments removed to protect the patient's identity) and will get back to you shortly.
Thank you.
Patient's Query
Hello doctor,
Depending on the results of the liver function tests, if alcoholic hepatitis is suspected, what could be the next plan of treatment?
Thank you.
Hello,
Welcome back to icliniq.com.
Liver test results are slightly raised due to two issues ( one is alcohol liver disease and another is overweight category causing fatty deposits in the liver); you have to manage both, which means cutting down alcohol intake and weight reduction. This needs an ultrasound and evaluation of the albumin levels in the blood.
Thank you.
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Medical Gastroenterology
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