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Why Is My Bilirubin Rate 2.3?
hi,i suffered from a jaundice in march this year. my bilirubin level was high and then within a month it came down to 3.through medication and diet regulation , in may, my bilirubin rate came down to 0.8. i started to go back to my lifestyle. last week i went drinking for 2 days continuously. this is my first drink after 4 months. i got scared and went checked my blood next day. the bilirubin rate was 2.3 now. what is the reason? am i suffering from jaundice again?
Tue, 3 Jan 2017
Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
According to history you can have alcohol induced liver affection. Your work up done is as follow:
- Peripheral smear examination for schistocytes (fragmented rbc) and normoblast
- reticulocyte count
- USG abdomen
- hbsag by ELISA
- Serum albumin if needed
- liver enzymes estimation
According to reports, further work up plan can be decided. Stop taking alcohol. If with stoppage of alcohol liver profile becomes normal then there is no need for active intervention treatment.
If steatosis like presentation is there in USG then udiliv and vitamin E tablet is prescribed. Consult a physician or gastroenterologist for examination with keeping all this in mind.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Parth Goswami
I have reviewed your query and here is my advice.
According to history you can have alcohol induced liver affection. Your work up done is as follow:
- Peripheral smear examination for schistocytes (fragmented rbc) and normoblast
- reticulocyte count
- USG abdomen
- hbsag by ELISA
- Serum albumin if needed
- liver enzymes estimation
According to reports, further work up plan can be decided. Stop taking alcohol. If with stoppage of alcohol liver profile becomes normal then there is no need for active intervention treatment.
If steatosis like presentation is there in USG then udiliv and vitamin E tablet is prescribed. Consult a physician or gastroenterologist for examination with keeping all this in mind.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Parth Goswami
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