Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
162 Doctors are Online

Treatment for bilirubin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 541 Questions
Doctor :   hi
Doctor :   How may i help you?
User :   Hi please can you tell me what may be causing my excessive daytime sleepiness
User :   First of all i should mention that I am suffering from unconjugated hyperbilirubinemia
User :   20yr old male, dont drink or smoke, not on any meds
Doctor :   May i know your weight, place of living and occupation?
User :   I get 8 hours of sleep at least but suffer from extreme daytime sleepiness
Doctor :   sleeping habits , how often do you sleep?
Doctor :   ok
User :   weight is 10st, live in UK and I have an administrative occupation
Doctor :   ok
Doctor :   have you had any other blood test?
User :   total bilirubin is 94umol, cause not yet found
User :   I have had a full blood count that just showed raised bilirubin, everything else was normal
Doctor :   any liver enzymes?
User :   LFT was also normal besides unconjugated bilirubin
User :   No all normal
Doctor :   any ultrasound done?
User :   Yes and also MRI scan both clear
Doctor :   may i know what other symptoms do you have?
Doctor :   may i know which part MRI had been done?
User :   I am suffering from daytime sleepiness, intermittent pain in upper-right quadrant and mild jaundice, and minor shortness of breath
User :   MRI of the abdomen and liver
Doctor :   i guess you might be having mild Hepatitis
Doctor :   Have you done any Hepatitis Serology tests
User :   What are those
Doctor :   Those are to check Hepatitis viral infections
User :   I'm not sure I think so, is this via a blood test?
Doctor :   Yes
User :   Then yes this has been done
User :   Blood smear is also abnormal
User :   with stomatocytes, atypical lymphs and target cells
Doctor :   In that case your symptoms match with your elevated liver bilirubin
Doctor :   I would advice you also to get tested for EBV test that is the mono spot test
User :   Could this be a liver disease?
Doctor :   Yes. EBV affects the liver and causes Hepatitis which presents late.
User :   I have had high bilirubin for 6 months now, would this virus not have already gone by now?
User :   And wouldnt it have been picked up by the tests
Doctor :   If not detected and treated it may take a while for it to clear
User :   My last LFT was at the beginning of last month, and that showed ALT - 13 and GGT - 15. Does this mean that my liver is not damaged?
Doctor :   The blood test you have done indicates a typical lymphocytes that are seen in EBV infection
Doctor :   These enzyme tests are normal
User :   So my liver is not damaged?
Doctor :   The liver damage has been contained as the liver enzymes ALT and GGT are normalized now
User :   They always have been normal they have never been high
User :   So is the most likely caused mono?
User :   And is there any treatment
Doctor :   Yes
Doctor :   Antiviral medications are available by prescriptions.
User :   Ok
User :   what are the chances this is a more serious disease eg chronic
Doctor :   Since you don't have high liver enzymes the chances are less.
User :   Ok
User :   the target cells and stomatocytes, what are these indicative of?
Doctor :   Those are indicative of rapid blood cell production which occurs in infective states.
User :   Do they point to any particular disease or condition
User :   And would you expect to see these in mono?
Doctor :   No the target cells and stomatocytes are not indicative of any specific indication.
Doctor :   Yes they are seen as a non specific finding in any viral infection
User :   Ok should i be worried?
Doctor :   No
Doctor :   You will be fine and you will recover from this condition
Doctor :   As you don't have major anatomic damage to the liver, there is nothing to fear about.
User :   ok thanks
User :   with the pain over my liver it seems this is a sign of hepatitis
Doctor :   Yes it does.
User :   I am due to see the liver specialist in 10 days, should I go to the hospital or will i be ok to wait for this appointment
Doctor :   You can wait for the appointment.
User :   So most likely is mono, any other conditions that i should be aware of?
Doctor :   Hepatitis A, Hepatitis B and Hepatitis C are some of the condition you need to screened for by blood test if not already done.
User :   Ok thankyou very much for your help
Doctor :   You are welcome
Doctor :   Thanks for consulting HealthcareMagic
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor