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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Bilirubin Levels

Dear Sir, My Name is LIju, from Dubai. Since one year i was suffering with some Liver Problem as my Bilrubin level is high. i have consulted Doctor in Trivandrum last March and he gave me medicine Heptral for 3 Months, after that i checked there is no changes in my Bilrubin count. again i cunsulted doctor in Dubai. he gave me Liv 52 tablet for 2 months. yesterday i checked again bilrubin direct is 0.72mg/dl and Bilrubin Total 3.12 mg/dl. i don t know what is the problem. can you please help me on this
Tue, 12 Feb 2019
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General Surgeon 's  Response
Hi,

Well, jaundice is just a sign and not diseases, and treatment depends on the exact cause. Jaundice is usually sign of certain liver disease and high bilirubin value.

Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2-3 mg/dL (34-51 µmol/L) typically results in jaundice.

High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications.

Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage. Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is a present surgery is typically required, otherwise, management is medical.

Medical management may involve treating infectious causes and stopping the medication that could be contributing.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For High Bilirubin Levels

Hi, Well, jaundice is just a sign and not diseases, and treatment depends on the exact cause. Jaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2-3 mg/dL (34-51 µmol/L) typically results in jaundice. High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage. Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is a present surgery is typically required, otherwise, management is medical. Medical management may involve treating infectious causes and stopping the medication that could be contributing. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon