Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor,My husband is 30 years old and diagnosed with jaundice 8 days back.... His prior report says dir bilirubin 3.9 and indirect 3.0 and tot mill His sgot and sgot both was around 3500 and now his today s report says dir bilirubin says 12 and indirect 9 and total 3 and sgot is 745 and sgpt 141 please advice. Now we are taking Ayurvedic medicine since last 4 days
[|AI|]  Good morning Sorry to hear about the ill health of your dear husbandFirst of all I would like to strongly advise you to stop ayurvedic medicines. He is suffering from hepatitis and I believe it could be due to viral illness. He needs to be investigated for the gamete downward trend of his GOT and SGPT were encouraging The bilirubin level has increased, with a change in the fraction of predominant direct bilirubin fraction (initially) to indirect bilirubin fraction (later). It may indicate that his red blood cells must be getting destroyed early which could be secondary to ayurvedic medicines or viral illness itself. I would like you to please recheck the repeat bilirubin (including direct and indirect fractions) along witChatDoctorplete blood counts, reticulocyte counts, prothrombin time. I would also like to advise you to get serum ceruloplasmin to diagnose copper related storage diseases which can cause this combination of symptoms and lab reports. Hope I had answered your question I would be happy to answer any further queries Wish him a speedy recovery