Acute Hepatitis

Clinical Features:

• 1)fever
• 2)malaise
• 3)fatigue
• 4)loss of appetite 5)vomiting
• 6)diarrhea and 
• 7)abdominal pain.

Investigation:

• 1)Serum bilirubin-increase
• 2)SGPT-increase([post id="101" title="SGPT/ALT"])
• 3)PT
• 4)USG of W/A([post id="271" title="Acute-Hepatitis usg"])
• 5)HBsAg 
• 6)ANTI-HCV
• 7) INR ratio ([post id="110" title="International-Normalized-Ratio"])
• 8) [post id="107" title="Serum-Albumin"]

Rx:

• Complete Bed Rest
  
• Diet: Normal(no extra fat & extra protein)
  
• Adequate fluid (Water & Fruits juice)
  
• Avoid some drus like-sediatives,NSAIDS,Alcohol
  
• There is no specific treanment,its self limiting.

Treatment of complication:

1. Cap. Maxpro ([post id="392" title="Esomeprazole"])(20mg) 1+০+1 ( 30 min before meal)......10 days

2.  Tab. Motigut([post id="465" title="Domperidone"]) (10mg) 1+1+1( before meal)......10 days

 If pain 

• Tab. Viset ([post id="451" title="Tiemonium"])(50mg) 1+1+1 (if pain- after meal)
  

if constipation-

• Syp:D-lac([post id="515" title="Lactulose"] )-2-4 TSF Three times daily 
  

if feature deep jundice / biliary cholestasis(itching & steatorrhoea) then ....

•  Tab.UDCA/Liconor(ursodioxycholic acid)-(300mg)
  

1+0+1.........10-15 days

Note:contra-indicated drugs

• 1)any sediatives & hypnotics
• 2)emistat
• 3)diuretics
• 4)NSAIDS
• 5)Anti-depressents
• 6)IM imjections 

Advice:

• Vaccinations for your friends and family. 
  
• Say NO! to smoking, drugs or alcoholic drinks.
  
• Exercise, but move with caution. 
  
• Pay attention to your emotions.
  
• Practice safe sex.
  
• Cover any open cuts. 
  
• Ask about antiviral therapy.