The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
Pregnancy is known to cause flare up of hepatitis B.
That is wat is likely happening.
However, this does not usually affect the baby.
Gilead will help to reduce the risk of perinatal transmission.
The gilead is continued till 4 to 8 weeks after delivery.
Is the ALT AST index very high now? Is it indicating anything serious?
Cos the hospital is not letting her discharge out
That is the usual elevation with hepatitis flare up.
Close monitoring is all that is required.
Does pregnancy causes the index so high?
Hospital admission is recommended till the AST and ALT level start trending down.
yes it does.
the hepatitis gets activated
Also pregnancy itself can stress out the liver.
Oh I see.
does she have any symptoms?
no other symptoms really
She is on GILEAD for 4 days, usually how many days is expected to make the index drop?
at least 2 weeks of treatment.
as blood test are still saying it is even a bit higher
but gilead still should be continued.
And the hepatitis virus level should be checked as well.
Will any symptoms develop?
And does GILEAD affect the baby?
sometimes yes --mausea, vomiting, stomach pain.
gilead does not affect the baby
I see. Thank you so much.
One final question
If she is discharged out, will the index suddenly rise up again?
That should not happen while on gilead.
Thank you so much really, your replies are very helpful!
Have a good day!
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Dear MysticDoc,Here are the recent results of the patient:
July 01 : AST 676, ALT 1315July 05 : AST 827, ALT 1687July 06 : AST 745, ALT 1631July 08 : AST 579, ALT 1390, ALP 69
Q1: Is there any improvements shown, or is it still too early to tell?
Q2: How low should the values drop for the patient to be able to be discharged out of hospital?Q3: Are there any food intake that can benefit liver function?Thank you so much!
sorry i missed out the GGT values are 28, 34, 38, 44 on the rise. what does that indicate?