Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr. I was sufferring from Viral Hepatitis A since June 2012. The level of Billirubin had gone up to 44 over one and half months. Then some complications in the protien levels shown as well as some haemolysis ( Haemoglobin went up to 7). Doctor did endoscopy to assertain any verices, it was absent. He told me it is acute hepatic failure. since October the levels start decreasing. In January, the readings were total Billiburin 1.25, Albumin 4.0, A/G= 0.8, SGOT 46, SGPT 89. Hg 12.2, In the Ferbuary end reading is Billirubin 1.6, Albumin 4.2, A/G 1.4, SGOT 63, SGPT 57, Hg 12.8. These two readings are from two different laboratories. My energy levels are quite fine (not exerting heavily though). Does the enlarged billirubin level is alarming? My email id is YYYY@YYYY . Kindly reply,
[|AI|]  Dear pairajesh007,I am looking at the January and February lab results, and they do not look alarming. Even though the enzymes are still elevated slightly, they will continue to improve. Bilirubin level 1.25 -1.6 again is not very high. You might probably have a slightly higher indirect bilirubin than direct which indicates a slight hemolysis. But your Hemoglobin levels are O.K. Keep eating a good high protein diet, take a grouper B-Complex Vitamin along with 1000 mg. of Vital supplement. I am sure you will be back to normal soon. Hepatitis-A does not go into a chronic phase. I wish you well.