Could high bilirubin and fever affect a 67-year-old male?

Question

Hello doctor,

My father is 67 and a patient of hypertension and hypothyroidism. Recently, he has been detected with elevated bilirubin levels. Here are his recent symptoms: occasional mild fever (99 to 100.5 F). No apparent cold symptoms. The typhoid test came back negative. Mild nausea (feeling better after using Rablet D).

Here are his additional problems (for quite some time): Shoulder ache, which feels better with exercise and physiotherapy. Pain in the right toe, which is mild to severe (was detected with high uric acid, generally feels better with medication, but also develops side effects). He does not feel well if he continues the uric acid medication for a long time.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

The attached reports (attachment removed to protect patient identity) look alright except for the fatty liver on the ultrasound scan. The liver function is fine. The bilirubin can just be observed; nothing is worrisome.
I suggest he have Udiliv (Ursodiol) for three to four weeks and stop. Consult your specialist doctor, discuss with him or her, and start taking the medicine with their consent.
He has to continue Eltroxin, as thyroid levels are in the upper range. He can have Rablet-D whenever there is abdominal discomfort. Other regular medications can be continued.
Current symptoms can be closely observed. If a fever persists, please get a blood culture and a urine culture done.
Avoid medicines that are harmful to the liver, including over-the-counter medicines and ayurvedic tonics, which can alter your liver function.

Hope your queries have been cleared. Please revert if you have any further queries.

For more information consult a general surgeon.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Please check the uric acid levels and take medicines if needed, only after confirming their safety.
Adiliv is a non-allopathic syrup. The contents are not within my knowledge.
Paracetamol can be taken up to 3 g a day only if needed.

For more information, consult a general surgeon.

I hope this helps.

Thank you.