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Gilberts syndrome, drowsyness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   tiredness
Doctor :   Hi,
User :   Hi
User :   I am a 20yr old male 5ft 7 10st, dont smoke or drink
User :   I was dx with gilberts syndrome last month
User :   however I am stuggling with severe drowsiness in daytime
User :   Please can you tell me what may be causing it
Doctor :   My i know are you on any medication now ?
User :   No only hyperhydrosis treatment and nasal decongestant
Doctor :   May i know what treatment where you on lat month or XXXXXXXX syndrome ?
User :   None
Doctor :   May i know your bilirubin levels last month and the recent e ?
User :   94umol was my highest
User :   now it is back down to 40-60umol
Doctor :   ok, at this severity the illness can present with symptoms like fatigue , loss of appetite , lack of concentration etc
Doctor :   its the part of XXXXXXXX syndrome
User :   I was told by my liver specialist that Gilberts syndrome does not typically cause symptoms
User :   The tiredness started months after the high bilirubin was discovered
User :   so im not sure it's related to my gilberts
Doctor :   there are records of such symptoms , but the cause being debatable yet
User :   I see
User :   is there anything else that could be causing it
User :   I am soon to have a sleep study to check for sleep problems
User :   However due to my history the ENT specialist believes this to be unlikely
Doctor :   since there is defect in detoxification of drugs in this illness , any kind of medication can produce symptoms like one you have
User :   I am not on any medication.
Doctor :   may i know what nasal decongestant you are on ?
User :   oxymetazoline
User :   this is not prescribed
User :   but my nose is always blocked
Doctor :   this drug is metabolized in the liver
User :   I dont take it everyday
User :   but when i do it actually helps
Doctor :   stop it completely and go for steam inhalation with eucalyptus
User :   can this damage my liver
Doctor :   no , but the metabolites can cause symptoms
User :   ok
User :   is there anything other than this that may be causing the symptoms
User :   anything i need to worry about
User :   with heart or lungs etc
Doctor :   i do not think there is anything but stress
Doctor :   No, XXXXXXXX do not have any association with lungs
User :   but is it possible i have a problem with the heart or lungs causing the tiredness?
Doctor :   heart related effects have association with XXXXXXXX at the coronary level
Doctor :   Problem with lungs present with breathlessness before fatigue
User :   i am breathless sometimes
Doctor :   and where as the heart effects expected with XXXXXXXX will present with chest pain
User :   but my xray and ct scan were normal
Doctor :   Is the breathlessness associated with wheeze ?
User :   no
Doctor :   then need not worry
User :   anxiety and stress?
Doctor :   yes, could be a chance
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