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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Bilirubin Level Of 1.30 A Cause For Concern?

My blood work came back showing my bilirubin was 1.30 and my bilirubin direct was .25. I was treated for hep c in dec. 2016. Had blood tests done every first month of treatent then every 3 months afterwards. 4 different blood tests over 6 months time with no signs of hep c. Doctor said I was cured. Don t know why my last yearly blood work came back showing my bilirubin reading was 1.30 lm looking for answers
Tue, 25 Sep 2018
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Ayurveda Specialist,  's  Response
Hello,

1. Persistent or intermittent raised bilirubin is one of the clinical features in infection with Hepatitis B, C, so slightly raised level could signify an inflammatory reaction in the liver which should be diagnosed in relation with:

- Consultation with a Hepatologist.

- Checking with LFT's [SGOT/SGPT/PT, serum albumin].

- Ultrasonography [to differentiate other causes of jaundice] or CT scan of Liver. Liver biopsy [diagnostic].

2. Remember that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function.

So their high values don't signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed.

3. Preventive measures which you can adopt

- Maintain personal hygiene and cleanliness.

- Boiled water or bottled water.

- Strictly no alcohol, painkillers [except paracetamol].

- Typhoid and cholera vaccine should be given a week if travelling to unhealthy places].

- Immunization against Hepatitis A & B.

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

Take care

Regards,
Dr Munish Sood, Ayurveda Specialist
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Is Bilirubin Level Of 1.30 A Cause For Concern?

Hello, 1. Persistent or intermittent raised bilirubin is one of the clinical features in infection with Hepatitis B, C, so slightly raised level could signify an inflammatory reaction in the liver which should be diagnosed in relation with: - Consultation with a Hepatologist. - Checking with LFT s [SGOT/SGPT/PT, serum albumin]. - Ultrasonography [to differentiate other causes of jaundice] or CT scan of Liver. Liver biopsy [diagnostic]. 2. Remember that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function. So their high values don t signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed. 3. Preventive measures which you can adopt - Maintain personal hygiene and cleanliness. - Boiled water or bottled water. - Strictly no alcohol, painkillers [except paracetamol]. - Typhoid and cholera vaccine should be given a week if travelling to unhealthy places]. - Immunization against Hepatitis A & B. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Munish Sood, Ayurveda Specialist