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Have alcohol induced jaundice, high bilirubin. Taking medication. Headed for liver failure?

I have alcohol induced Jaundice . My bilirubin numbers are high. As of 9/03/13 they are (Total bilirubin: 21.60) (direct bilirubin: 19.2) these numbers have been going up since the last 3 weeks when my tests were started. they were 14.90 and 12.7 last week (02/03/13) respectively and 8.40 and 3.20 on 16/02/13. My ggt has been coming down from 2341 on 16/02/03 to 350 on 02/03/13 and 220 today (09/03/13) I am on medication since 16/02/13. Please advise how critical my condition is and am i headed for liver failure? I am very worried
Asked On : Tue, 12 Mar 2013
Answers:  2 Views:  135
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
With the available described symptoms, there appears to be possibility of Alcoholic hepatitis.
What is your current SGOT/ SGPT level?
As such there is no correlation between bilirubin level and severity of liver diseasee.
As your GGT level is decreasing, your condition is improving.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You must have to stop alcohol to prevent further liver damage.
You should also go for ultrasound imaging for detection of liver status.
You should continue prescribed medication, multivitamins, and normal healthy diet.
Take care,
Dr. Mayank Bhargava
Answered: Tue, 12 Mar 2013
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General Surgeon Dr. Ivan R. Rommstein's  Response
Apr 2013
Hi and welcome to HCM.
It is hard to evaluate liver condition just having liver enzymes parameters.
But there is definitely some liver damage and further tests should be done to find degree of it.
First you need to do ultrasound to see is there any sign of liver cirrhosis, fibrosis or fatty liver.
Bilirubin levels are mildly elevated. You didnt tell sgot and sgpt but GGT is too high and it is a clear sign of too much alcohol in your life. So this isnt liver failure, but liver goes through phases and the worst one is failure. IT can be avoided by reducing alcohol intake and it is never to late for it just need to be responsible.
Hope I have answered your query. If you have any further questions I will be happy to help
Answered: Tue, 12 Mar 2013
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