instruction: hello doctor I am 16 years old my eyes were yellow alt level was 26 hepatitis result was 4 my I went to a gastroenterologist for checking and he prescribed me few medicines siliver sulvorid dexxoo in the follow up he prescribed me ipride after taking that medicine I am having loose motion and feeling cold now
output: hello from your symptoms and your test reports it looks like you have viral hepatitis particularly hepatitis viral hepatitis affects your liver cells and causes their inflammation which can lead to dysfunction in the normal functioning of the liver the disease can vary from being self limiting to highly fulminant hepatitis has been known to lead to fulminant hepatitis which has quite a high mortality the course of infection has two phases the prodromal phase and the icteric phase prodromal phase symptoms include myalgia arthralgia fever anorexia nausea vomiting weight loss dehydration and right upper quadrant pain icteric phase symptoms may last days to several weeks and include jaundice yellowish discoloration of skin and eyes dark urine light colored stools itching pruritus I would request to see a doctor and get admitted as soon as possible for further evaluation your liver enzymes have to be monitored regularly along with it in prothrombin time report to see whether liver is synthesizing the clotting enzymes well now coming to the treatment acute hepatitis in immunocompetent persons usually only requires symptomatic treatment as almost all of them are able to clear the virus spontaneously the acute illness may result in anorexia nausea and vomiting predisposing patients to dehydration these symptoms tend to be worse in the afternoon or evening patients should attempt to ingest significant calories in the morning as they improve frequent small meals may be better tolerated hospitalization should be considered for patients with dehydration ribavirin an antiviral drug is reserved for people who worsen you can continue taking dexxoo dexlansoprazole stop pride itopride hcl if it causes loose stools eat light food and drink plenty of fluids take tablet paracetamol 500 for fever consult a doctor immediately if you think your condition is worsening I hope this helps