my wife is a patient of Hereditary spherocytosis, now a days she is suffering from jaundice treatment as her Bilirubin and Sgpt level history is belowFirst Test Diagnosed as jaundice SGPT       =      103Bilirubin   =        2.3Treatment Jetepar  500 Ml repeated 5 days continueslyand some other Test Repeated after 12 daysSGPT       =      115Bilirubin   =        2.6only syrup and food TreatmentTest Repeated after 10 daysSGPT       =      287Bilirubin   =        3.2now again after 14 days test performSGPT       =      296Bilirubin   =        3.7please advise what to do
Hi thanks for contacting Chat Doctor. Noted she has persistent high liver enzymes and bilirubin ... Hereditary phagocytosis present... So if phagocytosis not controlled partial or full splenectomy may might need for treatment of it.... If needed RCC transfusion and folic acid supplementation useful....Meanwhile, cut of oil in diet to rest liver. Fruits taken more. Avoid alcohol... Green leafy veg and adequate protein taken. Regular follow up needed... Take care.