Bilirubin is an orange-yellow compound produced as a result of red blood cell breakdown. Increased bilirubin levels are found in liver cirrhosis and cancer, jaundice, autoimmune hepatitis, biliary cholangitis, gall stones, Gilbert's syndrome, bile duct inflammation, hemolytic anemia, hepatitis, etc. Apart from these, symptoms of illness like fatigue, abdominal pain, fever, chest pain, chills, lightheadedness, nausea, vomiting, etc., also cause elevated bilirubin levels.
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What is the cause of having recurrent vomiting in my daughter?
Query: Hello doctor, Last year my daughter decided to go on an all vegetarian diet rather drastically. A few weeks later, she got ill with vomiting which lasted for approximately two weeks, so we made three visits to the urgent care, where she was treated for gastritis and dehydration. One month later, the... Read Full »
Answer: Hello, Welcome to icliniq.com. I have two theories here, but I would need a little more information if you would not mind sharing. 1. Has she ever been tested for G6PD (glucose-6-phosphate dehydrogenase) deficiency? 2. During these episodes did she get a CBC (complete blood count) done? 3. Was it c... Read Full »
My uncle has gallbladder carcinoma. What is the treatment?
Query: Hello doctor,My uncle is 55 years old and is suffering from carcinoma in gallbladder with asymmetric cell development leading to the mouth of the pancreas. The CECT scan report says that G.B. is slightly distended. Gross asymmetrical wall thickening is seen mainly in the fundus of the gallbladder ex... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through reports (attachment removed to protect patient identity) and history above. Based on which looks like he has metastatic carcinoma gallbladder (stage IV). In general, overall survival in such cases is about six months without chemotherapy and with ... Read Full »
Can I know the difference between jaundice and hepatitis?
Query: Hi doctor, I was diagnosed to be suffering from hepatitis. My SGPT and bilirubin levels are high. I have been experiencing vomiting and nausea for the past one month. I had tested myself for jaundice around 15 days back; only bilirubin was high that time. Now, in the recent test taken three days ago... Read Full »
Answer: Hi, Welcome to icliniq.com. The term hepatitis indicates inflammation of the liver and that may manifest as jaundice. It is due to many causes such as infection, metabolic, etc. We need to do a thorough investigation, because treatment is directed towards the specific disease and some medica... Read Full »
Why my brother gets jaundice every year during summer?
Query: Hello doctor, My brother has jaundice, and it is occurring every year during summer. He feels very low and lazy, and his body becomes yellow. He is experiencing weakness and swelling on face and across his ankle. He also has a fever. We do not know why he gets sick every year. In addition to that, h... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post and the investigations (attachment removed to protect patient identity) that you have posted. He has the following problems: Low platelet count of 40,000. Iron-deficiency anemia. Hepatospleenomegaly. Raised serum bilirubin and mild e... Read Full »
What could be the reason for stomach problem and increased bilirubin levels with normal LFT?
Query: Hello doctor, I am 36 years old. I am a vegetarian and I weigh about 160.9 lbs. Before three years due to stomach disturbance, yellowish urine, pain and some popup and cracker sound in my legs knee joints, I visited a doctor and he suggests me lab test of liver function test and all reports in norma... Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through your all reports. (attachment removed to protect patient identity). Nothing looks like alarming except slightly low vitamin D levels. For yellow urine, I assure you it is totally insignificant as your all liver related test are normal including ... Read Full »
Are 29 weeks HBsAg, HBcAb and hepatitis C antibody test results conclusive?
Query: Hello doctor, What is the conclusive timeline for hepatitis B and C testing? I have done the following tests. 1. Normal ALT and AST at 12 weeks post possible infection. 2. HBsAg at 15 weeks post possible infection. 3. HBsAg, HBcAb and HBsAb at 22 weeks post possible infection. 4. Hepatitis C an... Read Full »
Answer: Hello, Welcome to icliniq.com. Normal bilirubin, as well as, normal ALT (alanine aminotransferase), and AST (aspartate aminotransferase), do not warranty that a person cannot have hepatitis B and C infection. A person infected with hepatitis B and C can have normal liver function tests. In a norma... Read Full »
What do elevated ALT, AST, and bilirubin levels indicate?
Query: Hello doctor, I am a 26-year-old male. I am very active and take a healthy diet. I do not take alcohol and never smoked for five years. I just did my bloodwork, and my ALT levels were 55, and bilirubin is 1.5. My AST levels are 31. I have been taking vegan protein and Ashwagandha (herbal supplement... Read Full »
Answer: Hi, Welcome to icliniq.com. Your reports are up to mark (attachment removed to protect patient identity), and there are slightly increased ALT (alanine transaminase), which is not significant to cause any symptoms. So you do not have to worry. It can be due to the medicine you are taking or... Read Full »
What do the bilirubin levels in my blood report indicate?
Query: Hello doctor, My blood report showed serum globulin 1.53 g/dL, A/G ratio 3.01, total bilirubin 1.84 mg/dL, direct bilirubin 0.38 mg/dL, and indirect bilirubin 1.46 mg/dL. Kindly review it. Read Full »
Answer: Hello, Welcome to icliniq.com I read your query and understand your concern. Your blood reports are regular; you have not attached your liver function test, but as you mentioned, it seems you have slightly high bilirubin. This can be due to alcohol intake or indigestion. It will be fine, kindly an... Read Full »
I have abnormal bilirubin and uric acid levels. Please help.
Query: Hello doctor, Two years back, I was diagnosed with antral gastritis after taking painkillers for my tooth pain. I lost 28.66 Ibs weight (from 163.14 to 134.48 Ibs) and felt more anemic because I followed a diet that avoided milk, non-vegetarian dishes, chilies, citrus fruits, etc. I also took some h... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I have gone through your reports and it is suggestive of gastritis only. Due to that, your food is not getting digested properly. When food is not digested it leads to an elevation in bilirubin. I would suggest you take syrup Hepamerz (L Orn... Read Full »
Query: Hello doctor,I am an 18-year-old male, and I am currently a jaundice patient. Recently, I underwent tests for my liver function and complete blood count. The results showed that my serum bilirubin level was 2.67 mg/dL, and my serum alkaline phosphatase level was 314 IU/L. Kindly suggest regarding my... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I understand your concern. Yes, as I can see in the reports (attachments are hidden to protect the patient’s identity), the bilirubin level is high, but there are two types of bilirubin, direct and indirect bilirubin. And we need to determine ... Read Full »
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