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

### input:
hi i am suffering from jaundice from a month now . it started with mild fever following by vomiting .the way i was diagnosed was blood test and a physical test .my BILIRUBIN LEVELS and ALT levels were 5.3 and 2900 respectively i was prescribed urso 250 mg and a vitamin supplement for 20 days and advised complete rest with a rich carbohydrate diet.those weeks the stool became normal coloured and yellow urine also dissappeares but itching was there few nights. after 20 days when the results came my BILLIRUBIN was 9.9 and ALT/SGPT 384 SAP 264 AND HBS ag NON REACTIVE.my eyes are still yellow but rest are normal like urine and stool and very less itching .no pain in abdomen or fatigue or nausea or appetite problems happenned from start . but there is mild craving for tobbacco but i avoided it will it effect my jaundice?.i followed each and every step recommended by doctor, family and friends yet the condition worsened now the doctor changed urso 250 to 300 mg 2 times a day again for 20 days.he didn t tell me the cause of jaundice but it is not pbc he told me. i don t know what to do now should i consult other one?

### output:

Hello, Based on your symptoms and initial laboratory report it seems you were suffering from viral hepatitis (probably hepatitis a or e). Your last report shows significant decrease in ALT but rise in bilirubin. This can happen in viral hepatitis. Bilirubin initially increases, and it decreases after the ALT levels have decreased. In your case the symptoms have also improved. I would advise you to have your serum bilirubin and ALT rechecked after a week of the last test. If bilirubin is not showing a decreasing trend then you should consult a gastroenterologist for detailed evaluation. If there is significant decrease in bilirubin you need not worry, but just to be sure repeat the test weekly till the values are normal.  Though tobacco will not have effect on your current illness, it is best you give it up altogether.  Hope that helps.  Wishing you good luck. Chat Doctor. 