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Bruises & Liver issues
I am a 34-year-old female, My weight is 37 kgs. For the past seven months, I have been experiencing painful bruises, and their occurrence is increasing each month. My PT INR (patient value) is 15.2, with a prothrombin time (PT) of 12.75 and an INR of 1.24. My APTT is 35.92. I have Gilbert's syndrome, with a total bilirubin level of 2.30 and an A/G ratio of 1.96. Additionally, I am finding it very difficult to gain weight and occasionally feel fatigued.
Answers (14)
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Dear Patient,
Thank you for sharing your detailed medical history. Your symptoms—**persistent painful bruises, difficulty gaining weight, fatigue, and abnormal coagulation markers**—warrant a thorough evaluation. Here’s my analysis:
Key Concerns:
1. Bruising & Coagulation Abnormalities:
- Your **PT/INR (1.24)** and **APTT (35.92)** are near-normal, but the **PT INR (patient value) of 15.2** is unclear (possibly a typo). Clarification is needed.
- Bruising suggests possible **clotting factor deficiency, platelet dysfunction, or liver-related issues**.
2. Gilbert’s Syndrome & Liver Health:
- Mildly elevated **bilirubin (2.30)** aligns with Gilbert’s, but rule out other liver conditions (e.g., fatty liver, hepatitis).
- **A/G ratio (1.96)** is normal, but your **low weight (37 kg)** raises concerns about malnutrition or malabsorption.
3. Weight & Fatigue:
- Could stem from **nutrient deficiencies (e.g., vitamin K, B12)**, chronic inflammation, or metabolic disorders.
Urgent Next Steps:
- Tests Required:
- Complete blood count (CBC), liver function tests (LFTs), vitamin K/B12/folate levels.
- Clotting factor assays (e.g., factors II, VII, IX, X) and platelet function tests.
- Ultrasound/elastography to assess liver structure.
- Immediate Actions:
- Avoid NSAIDs or activities that increase bruising risk.
- Eat small, nutrient-dense meals (prioritize protein, healthy fats).
Consultation Recommended:
Your case requires specialized attention to diagnose the root cause (hematological, hepatic, or nutritional). For a tailored plan, please connect with me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** to schedule a consultation.
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Painful bruise is not happen in gilbert syndrome
You have to done following investigation
Cbc
LFT
ANA PROFILE BY IF
USG ABDOMEN
YOU CAN CONNECT FOR FURTHER GUIDANCE
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Painful bruises, low weight, and tiredness may be due to:
Vitamin K or C deficiency
Mild liver-related clotting issue
Rare clotting/platelet disorder
Gilbertâs syndrome usually doesnât cause bruises, but it may add to the problem
Suggested tests: CBC, LFT, Vitamin K/C/D, B12, iron, thyroid
Start a high-protein, calorie-rich diet and take multivitamins
Please consult me directly for proper evaluation and treatment
I handle similar cases regularly and can guide you step by step
Book a consult with me on Practo today for expert care.
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