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Recurrence of jaundice and nausea in Gilbert syndrome

Resolved Question:

Hi Doctor,

Greetings!

I had jaundice 2 years back and repeated recurrence (2) of it. But currently I think I am not suffering from it, as I have increased my weight 10 Kg in past 3 months.

Nowadays I have a regular vomitting feeling, no matter how less or how much I eat. This feeing gets intense when I am back from my dinner or lunch. I feel uneasy at times as I have to sit in office and do the work in front of a computer.

Kindly advice.

Regards,
Ashish

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 29 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

As you might be aware, Jaundice is just a symptom. Since you had two episodes of jaundice, I assume that it might have been evaluated. As in, what caused the jaundice (Hepatitis A, B, C , Drugs ? Alcohol ?). If you have this information with you please share it with me so that I can provide my best and learned opinion. Also what was your latest Bilirubin value ?

You can reply as a follow up
Thank you


Patient replied :

Thanks Deepu. I had Jaundice because of Hepatitis C. I am a non-smoker, non-alcoholic and vegetarian. My doctor termed it as Gilbert's syndrome.
The latest Bilrubin value which I was checked in January was 0.8.

Kindly advice.

Thanks,
Ashish


Thank you for the additional information.

If there is a confirmed diagnosis of Hepatitis C you will needed further evaluation and antiviral treatment. This is because Hepatitis C has a high risk of transformation into cirrhosis and this can only be prevented by taking antiviral medication. The treatment initiation depends on lot of factors.

I presume the jaundice is due to a chronic hepatitis C (rather than an acute hepatitis C). You will need a serological study and RNA studies. You should be under the care of Medical Gastroenterolgist.

The current symptom (feeling of vomiting) might be due to the mild hepatitis you are having. Mild acid peptic disease could also cause it, so you can take an anti ulcer drug like C.Omez 20mg once a day just before sleep for 4-5 days. This is a safe drug and will help in reducing the symptoms. But the mainstay of treatment would continued care for the Hepatitis C.

Hope this helps
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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