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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to control the high bilirubin count?

Hi This is Harish, I 22 years old . I am a software engineer. I am affected by jaundice for last 6 months, my billurubin level is always changing that too excess in indirect count and my direct count is always in normal. (total Bilurubin : 2.7 direct:0.5 indirect : 2.2 like this ) I dnt knw what to do . and all my liver test and other test are fine i also took abdomen scan also it is also fine. and i took CBC test in that i have RBC more (5.3) .. What will be the problem.And also i am in complete diet. Please give me an suggestion......... Thanks and Regards K.Harish Kumar 0000
Tue, 15 Jul 2014
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Geriatrics Specialist 's  Response
Hi Harish,
Looking at the clinical history and excess indirect bilirubin, i would think of hemolysis as the major cause.
The RBC is being broken at increased levels, which is more than the liver load, and hence you are having indirect bilirubin in high levels.
If you get a "reticulocyte count" test done and it is more, then we can suspect hemolysis.
You can get the reticulocyte count done first and then further evaluation can be thought of. Do attach the whole report is possible
Any further queries, happy to help again.
Dr. Prakash HM
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How to control the high bilirubin count?

Hi Harish, Looking at the clinical history and excess indirect bilirubin, i would think of hemolysis as the major cause. The RBC is being broken at increased levels, which is more than the liver load, and hence you are having indirect bilirubin in high levels. If you get a reticulocyte count test done and it is more, then we can suspect hemolysis. You can get the reticulocyte count done first and then further evaluation can be thought of. Do attach the whole report is possible Any further queries, happy to help again. Dr. Prakash HM