<s>[INST] Hi,My wife aged 25 was diagnosed with hepatitis A with viral infection in lever. SGPT and SGOT count had gone as high as 5500 but now has come down to 54 and 73. bilirubin count came down to 4.78 from 7.2. She is on hepamerge and udihep forte tablets along with R-RD cap(for gas) along with Silybon and Digene syrup. Still she complains of pain in the upper stomach (just below the diaphrame in center of chest ). IS there something I should worry or the pain will ease off in time? Also some times in night she vomits and the pain increases. she is on moong khichdi diet, water of the coocked dal, apple and cucumber. [/INST] HAI.was treatment your giving her is quite enough for her problem, viral hepatitis has prolonged effects many of the times. Nausea, omitting, pain abdomen are the most common symptoms. You’re not supposed to give her more painkillers paracetamol as these affect the liver.u can give her antacids, PPI like pantoprazole with risperidone least one dose daily before breakfast to suppress the nausea effect. For pain u can give her simple metonymic acid for the pain. Please continue with the same bland diet, nonspicy, non-oily foods. It is usually prolonged self limiting problem, reduces on its own.Don't worry. Take care. </s>