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High bilirubin and low sodium
I am away from alcohol since 7+ months still my bilirubin is showing high..
As I'm drinking excessive water around 15 L per day ..
And also low sodium level..
Pls suggest
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Two separate issues here. A mildly raised bilirubin with otherwise normal liver tests, seven months after stopping alcohol, is often Gilbert's syndrome, a harmless inherited variation that rises with fasting, stress or illness. The low sodium is very likely from drinking about 15 litres of water a day, which dilutes blood sodium and can become dangerous.
Next Steps
Please cut your water intake to roughly 2.5-3 litres a day (more only if you sweat heavily) and recheck serum sodium after a week. Get LFT with direct and indirect bilirubin, CBC, reticulocyte count, serum electrolytes, TSH, cortisol if advised, and an ultrasound abdomen. Continue complete alcohol abstinence. You are welcome to consult me on Practo or at Synergy Miraj with your reports so we can interpret them together.
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1)Low sodium is due to too much water intake. 15 litres is harmful. 3-4litres is enough for your BMI.
2)High Bilirubin is due to long term Alcohol consumption. It takes time to heal.
Drastic lifestyle changes required like:-
•Exercise 30 minutes daily
•Stop Alcohol.
• Black coffee without sugar- 1 cup daily.
•One lemon ti be added to 250ml water and consumed daily empty stomach, 30 minutes before breakfast.
•3 litres water intake daily.
•Stop Oily, spicy, junk food, switch to fibrous and fruit rich diet.
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
OFLOX OZ TWO TIMES A DAY AFTER FOOD FOR FIVE DAYS. UDILIV 300 TWO TIMES AFTER FOOD FOR 1 OR 2 MONTHS.
LIV 52 ONE AT NIGHT 2 MONTHS.
DETOX
LUCK WARM WATER ADD 1/4 TSF HALDI, ADD LEMON JUICE N DRINK IN EMPTY STOMACH.
2
BLACK COFFEE EVERY MORNING
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Why Are You Drinking That Much Water?? It's Not Healthy.It Can Lead To Serious Health Problem.Its Causing Diselcetrolytemia Already.You Are Suffering From Hypervolumic Hypokalemic Hypochlorimic Hyponatremia.It Can Lead To Fatal Cardiac Arrythmia.Stop Drinking Excessive Water Now.Take ORS Immediately.It Will Help Correcting Diselectrolytemia.
Next Steps
Consult A Physician Or Gastroenterologist As Soon As Possible.
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For the low sodium and Chloride level kindly consume ORS solution ( either the sachet or tetra packs of verified brands) and for the unsettled high bilirubin levels kindly consult a gastroenterologist for appropriate advise.
Next Steps
Book a consultation for any further queries
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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