<s>[INST] Hi Doctor, my brother s age is 24 his bilirubin count has increased from 4. to 5.50. He is active as compared to last time but his eyes are showing a bit yellow and we are confused what exactly to give him to eat as we are taking care of him at home and its been more than two weeks now. At present we are giving only glucose, sugercane juice,oranges, b-complex syrup, tender coconut water, oranges,radish juice and chapatis without any oil or ghee. His liver function report shows his hepatitis A virus surface antigen to b non-reactive and S.G.PT is 1155 and S.G.O.T is 267, Direct 4.20 and indirect: 1.30 These counts are really scaring me.. please suggest! Should we admit him to hospital care?... [/INST] Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. Your brothers SGPT is in thousands and the most likely cause is acute viral hepatitis. The following tests are to be done -1. Anti-vax IgM2. HBsAg3. Anti HCV 4. Anti HEV IgM5. PT/INR6. Ultrasound scan of the abdomen can continue the diet which you have mentioned. There is no need to admit him in the hospital as long as he is not having symptoms like bleeding or altered sensorial hope that answers your question. </s>