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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
Answers (19)
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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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High bilirubin needs time .
Low sodium is due to excessive water.
But do consultation becoz u need proper guidance
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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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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Please share details of your symptoms if any, history of alcohol use, then I can guide you further.
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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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Please consult me for a proper assessment and an individualized treatment plan
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Low sodium may be due to hypervolemic hyponatremia, high bilirubin due to prior alcohol take consultation
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Gastroenterologist
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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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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs evaluation
Do consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Swati Hegde
Consultant Physician
16 yrs exp
Bangalore
It is harmful to drink so much water.. that is also the reason for low sodium.
Your high bilirubin is mainly indirect.. could be Gilbert.. .
Next Steps
consult for detailed evaluation
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