i will forward her all reports review and tell me what was the problem i will trust you please share your email id
just now i got one more information about doctor that he is money minded person so may be he telling lies
present she completely recovered form Heptitis-A
Forgot to ask, did they rule out Hepatitis-A completely or does she have both diseases (which I assumed)?
I know it can be difficult getting her assigned into a good liver specialist's care, but she does need to be seeing a hepatologist asap. They deal with livers only, and that's why they are able to handle the complexities that liver diseases can present.
Her current doctors should have been screening her for exactly this type of thing - coexisting diseases that can mask the true underlying nature of her condition. So you should try to get assigned to a liver specialist clinic or hospital, and have her see a hepatologist. If you cannot get assigned to a hepatologist, then try to find a good gastroenterologist. They have more knowledge and background wrt livers compared your average primary care physician.
A fortunate thing about autoimmune hepatitis (AIH) is that it is very treatable. They will have to do some autoimmune blood profile work and they maybe need to do a liver biopsy as well. The biopsy are not as bad as they sound, just be sure she has the proper specialist doing the procedure. I've had a bunch of them myself and I hate needles., but it wasn't a bad experience. If they do the biopsy, this will confirm the AIH and also tell the doctors how much current liver damage there is.
Once they've established (confirmed) that she does have AIH, they'll get her started on a treatment plan to slow down her immune system. Normally it involves Prednisone or Azathioprine, but there are some other types of immunosuppressants that are effective. If they have caught her disease early enough, then the treatments will stop the progression, and she can lead a completely normal, long life. without need of a transplant.
Hope things get better and keep us informed. We can answer any specific questions if you need. Take care.
please tell what s going on
i got message from doctor This is not the pattern of acute hepatitis A. It looks like that it has unmasked autoimmune hepatitis
but why infection is high SGOT is 158 and SGPT is 289
No, of the variuos forms of viral hepatitis, HAV is usually the most benign. The vast majority of infected patients are fully recovered after 3 to 4 months.
is there any chance to liver failure
The acute inflammation of her liver will cause congestion and cholestatic conditions. So you might try to remove any fatty foods in her diet at this time. She may have pale colored stools that are loose and float, dark colored urine as well. You've mentioned that she has jaundice so all of these things, including the vomiting, are due to this bile impedence problem.
Hopefully she has been able to see a doctor during the course of her infection so far. If not, and her temperature starts to climb very high along with a great deal of abdominal pain, do seek immediate medical attention since she may also have a serious biliary infection as well. Hope that her HAV starts to ease up soon.
Your wife's HAV acute disease course is following the typical trend. The main portion of the immune system's battle with the virus usually lasts for only a couple of months. And your wife's blood work is showing that pattern, so it seems that the worse of it is over. And her serum elevation levels are very comparable to other patients that are infected with HAV.
Keep in mind that some patients may have a secondary flareup with the disease, shortly after the initial battle during the first several months. But this isn't common and ultimately the acute phase of the disease finally goes away in a short period of time after that.
Unlike hepatitis-B and -C, hepatitis-A will not progress into a long-term, chronic disease. So once the acute infection is over with, she'll simply have the antibodies remaining that are needed to prevent any future infections. And there is no lasting damage to the liver with HAV. This would take a much longer period of time in order to harm the liver beyond it's recuperative abilities.
Take care and hope she feels better soon.