Conversation: The conversation between human and AI assistant.
[|Human|] From february 19 ownwards i was suffering from hepatitis A and intially d bilurubin count was 5.2 and sgptalmost 1200... den after a month or two with the help of medicines and diet my bilurubin decreased to1.6 and sgpt became 80.... den again bilurubin increased to a.8 and sgpt remains of the normal mark of 30_20... now wats d problem is that my sgpt is constant and bilurubin is varying .. my bilurubin has increased now up to 2.9 and sgpt is a constant of 30...Doctor plzz can u suggest whether i,am having a hepaptitis under d category of Gastro or can plz define my actual conditon of the disease...
[|AI|]  Hello. Welcome to Chat Doctor. Hepatitis A causes inflammation and scarring of liver which causes bile produced, not to exit the liver causing it to spill in to blood which can be seen as bilirubin. To rule out if there is chronic or acute hepatitis, you can get IGM and Egg HAD tested. Other tests like MRCP can be done to rule out obstructive diseases in bile duct which would have occurred along with infection. If there is only infection, then management is symptomatic and giving time for liver to heal itself so that slowly the bilirubin will subside. All the best