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What Causes High Bilirubin Level While On ATT Medications?

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Posted on Wed, 26 Apr 2017
Question: My mom name ambujam age 56 . I hope you remember .I tried to reach you XXXXXXX but instead I ended up with another specialist Thanks a lot for your answers which you made before This is just a follow up question but I will give you a sum up of all the things which happened before My mom had severe back pain .After diagnosis they found that it is spine TB and since the bone erosion is more they planned for spine surgery and it was done a month before she don't have pain now but a week before she got some imbalance in the leg while she was trying to walk after which we admitted her back in hospital they did LFT test and all and they found bilirubin level is elevated . After treatment they did discharge my mom now again they asked us to take the test report when i see the report now bilirubin is in control and in normal range it was 9 before but now 1.3 but there is some new problem RBC level is 2.47 Milli/Cu mm but doctors are saying it is normal due to ATT medication and hemoglobin level is 7.4 I am bit worried about this . In addition to this when she got admitted in hospital they changed few ATT medicines so that the bilirubin will go low they said but now I see the ESR level a bit elevated the test results are 20mm in half an hour and 42 mm in 1 hour and CRP is showing positive now also Do we need to take urgent care and do we need to worry for this . When I discussed with the doctor whom operated my mom he said everythign seems ok I am very much worried please advise me :(
doctor
Answered by Dr. Dr. Praveen Tayal (4 hours later)
Brief Answer:
Can be due to infection.

Detailed Answer:
Hello,
Thanks for posting your query.
A rise in bilirubin level is commonly seen while taking ATT. Few medicines may have been changed to bring back the liver function to normal.
Low levels of hemoglobin and RBC can be due to weakness and a chronic infection. She needs proper iron supplements for that.
Raised levels of CRP and ESR are suggestive of an infection that is still present. A spine TB can take 4-6 months to subside even with proper medicines. Do continue with the medicine and go for a regular follow up. No need to worry.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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What Causes High Bilirubin Level While On ATT Medications?

Brief Answer: Can be due to infection. Detailed Answer: Hello, Thanks for posting your query. A rise in bilirubin level is commonly seen while taking ATT. Few medicines may have been changed to bring back the liver function to normal. Low levels of hemoglobin and RBC can be due to weakness and a chronic infection. She needs proper iron supplements for that. Raised levels of CRP and ESR are suggestive of an infection that is still present. A spine TB can take 4-6 months to subside even with proper medicines. Do continue with the medicine and go for a regular follow up. No need to worry. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal