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Concerned about high bilirubin levels - 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 : 2004
Answered : 1773 Questions
User :   hello
Doctor :   hello
User :   I need your opinion on a liver related problem
Doctor :   how may i help you ?
User :   I am a 20yr old male, very fit and otherwise healthy, but i have high bilirubin
User :   I dont drink, smoke or take any drugs
Doctor :   ok
User :   I have had numerous blood tests, the worst showed my bilirubin at 81 umol
Doctor :   since when did you noticed this ?
User :   but the most recent is 41 umol
User :   I have been undergoing investigations for about 6 months
Doctor :   and the results have been all negative otherwise ?
User :   I have had an MRI scan, numerous LFT's, Ultrasound scan, 24hr Urinalysis (copper) and an eye test also for copper, all of which are negative
Doctor :   ok
User :   my doctor says that my liver is still functioning normally, but has some minor concerns surrounding the blood smear test
Doctor :   and have all your tests came under normal range
User :   yes apart from bilirubin
User :   stomatocytes, target cells and atypical lymphs were found in my most recent blood test
User :   can you tell me what this means?
Doctor :   sure
Doctor :   these are certain types of cells that we see in certain conditions. they specifically does not pinpoint to a certain condition and these cells can be seen in many conditions
User :   is there a possibility i have chronic liver disease?
Doctor :   high bilirubin does means there is a problem in the liver. it can be raised in many conditions and some one asymptomatic for eg Gilberts Syndrome
Doctor :   which is a very common condition where the level of bilirubin are increased but its nothing to worry about
Doctor :   your question about having a chronic liver disease seems not so as your other liver tests have come normal
Doctor :   still a through physical examination is recommended
User :   ok
Doctor :   have you had any type of hepatitis ?
User :   so with my age and currently physical health, what are the chances of me having liver disease?
User :   no i have had no other health problems at all
User :   the doctor i've seen says that if it is a disease it will be something i was born with
Doctor :   any infections in the past?
User :   not anything more than common cold
User :   and impetigo
Doctor :   ok
Doctor :   i can advise you to do the followings as a life style change that will help you
User :   yes please
Doctor :   1)Try and cook food in minimal oil and stay away from fried foods
Doctor :   2)It may be better to make fruits and vegetables a major part of your diet. Red meats contain too much fat. Try consuming more lean meats and trim the fat off wherever possible.
Doctor :   3) Reduce your intake of spices and sour foods and try and take less salt as well
Doctor :   4)Have plenty of orange juice its very beneficial for a healthy liver as it increases the immunity of the body
User :   thankyou
User :   i have heard many good things about milk thistle, is this something that i should also consider?
Doctor :   you are most welcome these small changes will make a big difference in your life
User :   thanks please see above re milk thistle?
Doctor :   yes it does show to have added benefits
Doctor :   but it also can cause some indigestion, headache and itching
Doctor :   are you allergic to anything ?
User :   no
Doctor :   ok
Doctor :   also you can try some turmeric powder, add 10gms of this powder to 50gms of pure yoghurt and mix well and divide into equal parts. Drinks one part in the morning and another in the evening for 15day
Doctor :   this will also help you
User :   ok thankyou
Doctor :   you are most welcome
User :   so in your opinion, do you think i have a liver disease?
Doctor :   just a rise in bilirubin level in it self is not a serious indicator for liver disease . but you have also told me about you getting all your tests done and they too are in normal range
Doctor :   but a thorough physical examination is always advised
User :   i am unsure as to what further tests i need
User :   the doctor has told me that i should return every 6 months to get my lft
User :   but at the moment, the abnormality is so mild that the dr cannot justify the risk to me
Doctor :   yes thats completely true
User :   i am still very worried as a 20yr old nonetheless
Doctor :   and you are a healthy person with no sings of any fatigue
User :   for a biopsy
Doctor :   i can understand your concern
Doctor :   you should get your tests regularly done as per advised by your doctor every 6 months .
User :   what is the most likely outcome?
User :   because surely if i had a disease it would have already been picked up, or is there a possibility it has been missed?
Doctor :   nothing at all ... like your doctor had mentioned its very mild
Doctor :   you have done complete tests and there is no way it could have been missed
User :   ok, the biggest thing that is worrying me is the blood smear
User :   because i have been told that these changes in the blood can be seen with liver disease
Doctor :   like i said certain conditions are so mild that it wont affect our normal lifespan, and you are also getting regular tests done
User :   so it probably will not get worse?
User :   i know its probably hard for you to say
Doctor :   no just have regular tests every 6 months and i am sure it would be fine
Doctor :   it is hard to say the exact cause but once the tests come normal you have nothing to worry about
User :   ok thankyou doctor, very pleased with the answers you have provided
Doctor :   your most welcome
User :   have a great day, goodbye
Doctor :   take care
Doctor :   bye
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