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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Bilirubin Levels. Nausea After Eating High Fat Foods. Investigate Further?

Just wondering, my bilirubin level is 26 from my doctor in New Zealand. Not quite sure what that means - she said it was not dangerous, but highish. I do notice when I eat high fat or wine, I get very nauseaus. Should I get further tests, does simply eating low fat take care of the problem? I do urinate quite a bit and sometimes get up twice at night. I am not diabetic or overweight .
Fri, 15 Feb 2013
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Gastroenterologist,  's  Response
Hello, nancy,
The number that you mention for Bilirubin level 26 seems wrong.
Probably 2.6 mg. You would be extremely jaundiced and in liver
failure if the Bilirubin level was 26 mg.
I definitely think you should get a complete liver profile which
includes all the enzymes , protein, albumin and globulin, blood
count ,prothrombin time ,even Hepatitis screening.
You should also get a sonogram of the liver and gallbladder to
rule out gallstones and fatty liver.
Especially fatty foods can trigger gallbladder attacks.
Hope this will be of assistance to you.
I wish you well.
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General & Family Physician,  Dr. Pavan Kumar Gupta's  Response
Hello,
Your doctor is right as your bilirubin levels of 26 micromol/ L is just a bit above the normal level.
You must get estimation of other liver enzymes like SGOT and SGPT done to see whether hepatitis is there or not.
Such mild rise of bilirubin doesn't need any medication.
Just take light food and avoid fatty food and alcohol.
Take plenty of fresh fruits and fruit juices.
If all other liver enzymes are normal,then it can be a case of GILBERT'S SYNDROME..
Consult a doctor and get liver function tests done.
Thanks
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High Bilirubin Levels. Nausea After Eating High Fat Foods. Investigate Further?

Hello, nancy, The number that you mention for Bilirubin level 26 seems wrong. Probably 2.6 mg. You would be extremely jaundiced and in liver failure if the Bilirubin level was 26 mg. I definitely think you should get a complete liver profile which includes all the enzymes , protein, albumin and globulin, blood count ,prothrombin time ,even Hepatitis screening. You should also get a sonogram of the liver and gallbladder to rule out gallstones and fatty liver. Especially fatty foods can trigger gallbladder attacks. Hope this will be of assistance to you. I wish you well.