### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My grandma (70) is suffering from acute hepatitis. which has been detected on 20/04/2013.She has been suffering from jaundice also with bilirubin 6.09. On 29/04/2013 she had total bilirubin 13.1 (conjugated 7.9 unconjugated 5.2)S.G.O.T. 682 S.G.P.T.774. She was hospitalized for 12 days.When she was released, total bilirubin had 15.6 (conjugated 13.8 unconjugated 1.8) as on 09/05/2013. S.G.O.T. 180 S.G.P.T. 230.   On 17/05/2013 total bilirubin increased to 18.59 (conjugated 10.51 unconjugated 8.08) S.G.P.T. 76 S.G.O.T. 105.     She has been given udiliv 300, silybon 140, entaliv .5mg. and looz syrup. She is now at home. Better than before. But bilirubin is increasing. What should we do? Is home treatment with those medicine is enough? Mild  leg swelling is noticeable. nausea is mildly persistent.0000 is my no.

### output:

Hi, Welcome to Chat Doctor, After going through your grandmother history, her Hepatitis is already more than 1 month, her bilirubin is showing increasing trend, although the liver enzymes are decreasing. If it is viral hepatitis viral markers needs to be done to confirm which type is this. There are Hepatitis A & E which are infective and B & C are parenteral that is from blood. These two can go in to chronic Hepatitis. Prognosis depends on type usually A & E are self limiting diseases. Swelling may be due to hypoproteinemia. Only supportive therapy is required. Please consult a Gastroenterologist and continue the treatment. Take care. Good Luck. Chat Doctor. D.