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Bilirubin level increase
Hello Sir/madam,
Last month I had an LFT Which showed 1.34 total bile. ( Direct .68, Indirect. 66) and all the liver enzymes are normal, and last two I have been suffering from mild pain in upper right side of the chest, bloating and loss of appetite and Today the LFT is 2.01 total bile( Direct 1.30. Indirect .71) and all the liver enzymes are normal. After a pharmacist suggestion I went for LSG( that is also normal) and the same has been attached. Kindly guide me what would be the problem. I am very greatful to you.
Answers (28)
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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A marginal increase in bilirubin with normal liver enzymes and normal ultrasound,is not significant.It could be due to congenital conditions.Continue with healthy diet habits and lifestyle management.
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You should forget about the liver. It is normal. The changes in your serum bilirubin level can be considered as normal variations.
Please take only symptomatic treatment.
You should go for a morning walk, avoid liquor and smoking totally, take tea and coffee in moderation (only one cup,100 ml, each per day) . You will be all right.
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May be GERD
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You need to get examined by Physician with thorough history. Kindly visit nearby Doctor.
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Your usg report and other reports are normal
If you have gastritis pain might be due to gastritis
You have to change your diet
Better avoid spicy and oily food
Avoid outside foods for few days
It will better if you do contact and do consultation once
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USG report normal
Might be due to Gastritis.
Health Tips
To alleviate gastritis symptoms, follow a gentle diet of bananas, rice, applesauce, toast, yogurt, oatmeal, cooked vegetables, lean proteins, and healthy fats, avoiding spicy, acidic, fatty, or caffeinated foods and drinks that can irritate the stomach lining.
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Investigations are normal . Can be normal gastritic pain. Take pan dsr daily for 1 week . For further discussion kindly connect
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Dr. Riya Agrawal
General Surgeon
6 yrs exp
Panipat
Hello
Considering the reports and symptoms,nothing is worrisome as of now.
Next Steps
Take tablet Drotin 40 after meals SOS
Take Pan 40 empty stomach for 1 week.
Avoid fatty and spicy food.
Increase fluid intake.
Increase walking.
Since Ultrasound reports are subjective,go for another scan after a week,12 hours fasting ,if the pain continues.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Adv gastrologist opinion
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
Gastritis
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Dr. Nikhil Aggarwal
General Physician
10 yrs exp
Delhi
Opinion:
Your symptoms (mild right upper chest pain, bloating, and loss of appetite) combined with elevated bilirubin levels suggest a mild liver or biliary tract dysfunction. However, the fact that your liver enzymes (ALT, AST, ALP, GGT) and ultrasound (LSG) findings are normal is reassuring, as it rules out significant liver damage or structural abnormalities.
The isolated rise in bilirubin, especially the direct component, could indicate a mild obstruction or inefficiency in bile flow (cholestasis) or a condition like Gilbert’s syndrome, which is a benign hereditary condition causing intermittent increases in bilirubin. Since liver function tests (enzymes) are normal, the likelihood of serious liver disease is low.
Next Steps:
1. Dietary Adjustments:
• Avoid fatty, fried, or spicy foods that could worsen bloating and bile flow issues.
• Include a high-fiber diet and stay hydrated to improve digestion.
2. Additional Testing:
• Repeat Bilirubin: Monitor bilirubin levels regularly to track the trend.
• Viral Hepatitis Panel: Rule out infections like hepatitis A, B, or C.
• Autoimmune and Metabolic Workup: Check for autoimmune liver diseases or metabolic conditions if bilirubin continues to rise.
3. Medications:
• You may consider taking liver-protective medications like ursodeoxycholic acid (after consultation with a physician) to improve bile flow.
• Antacids or prokinetics might help with bloating.
4. Consultation:
• If symptoms persist or worsen, consult a gastroenterologist for further evaluation. They might recommend tests like an MRCP (magnetic resonance cholangiopancreatography) to check for subtle biliary or pancreatic ductal issues.
While the current findings are not alarming, regular follow-up is important to ensure that the bilirubin levels normalize and that the underlying issue is properly addressed. Please consult with a specialist to tailor the management to your specific needs.
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Your bilirubin levels have shown a slight increase over the past month, with total bilirubin at 2.01 mg/dl (direct 1.30, indirect 0.71). However, it is reassuring that your liver enzymes and liver sonography results are normal. The symptoms of upper right chest pain, bloating, and loss of appetite may indicate gastrointestinal issues such as GERD (gastroesophageal reflux disease) or other conditions like functional dyspepsia.
Gilbert's syndrome, a benign condition affecting bilirubin metabolism, might also be a possibility, particularly if there are no other abnormalities. Still, it would be important to rule out causes like mild hemolysis, viral infections, or bile duct-related issues.
I recommend continuing a healthy diet, avoiding fatty and spicy foods, and drinking plenty of water. For better evaluation and treatment, consult me directly. You can contact me via WhatsApp at eight zero zero nine eight two one three three two for a detailed discussion and personalized care.
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Dr. Saurabh Tiwari
Neuropsychiatrist
6 yrs exp
Lucknow
Connect
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Sadvik diet helps
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Kindly consult once physically to nearby physician
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online need proper history and evaluation for treatment
Start some detox drink every day morning empty stomach
Start tab Himalaya liv 52 every for six weeks
Avoid oily food fried items spicy food outside food
Take tab cyclopam,ondem 4 mg consult online will guide you
Get hepatitis s ag test
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Vikram Pratap
General Physician
12 yrs exp
New Delhi
You should visit a physician for proper physical examination and treatment
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Connect please need few more details about patient
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Could be hepatitis
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Dr. Deepak Garg
General Physician
9 yrs exp
Kota
USG IS LOOKING NORMAL. LFT IS ALSO LOOKING NORMAL. I WANT MORE DETAILS FOR FURTHER MANAGEMENT
Next Steps
CONSULT ME FOR FURTHER DETAILS
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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