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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Variation In Bilirubin With Tiredness And Vomiting?

I HAVE GILBERTS SYNDROME SINCE 2011..MY BILRIBIUN IS SOMETIMES 2.1 sometimes 2.5..sometimes 1.5 or 1.8...Doctor called it gilberts disease.now my sgpt and sgot is slightly increased near about 40 and 49.And now i feel vomiting sometimes and triedness.what to do now..iam Alchol free.
Mon, 7 Mar 2016
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Gastroenterologist,  's  Response
Well Bilirubin changes in the Gilbert Syndrome are o.k depending in other diseases that you can pass in time (viral situations) or other stress situations. Most important to evaluate I think is "the tendence" of slightly increasing SGPT (which is at the upper limit of the normal values) and SGOT (which has passed this level but is not increased with only liver problems but with muscle problems i.e havy exercise). Anywhere I'd want to calm you down if you have excluded the other causes of liver diseases as the viral or autoimmune (your doctor) before arriving to the diagnosis of Gilbert Syndrome. You have to repeat the liver tests again one month after and not to take anything.
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What Causes Variation In Bilirubin With Tiredness And Vomiting?

Well Bilirubin changes in the Gilbert Syndrome are o.k depending in other diseases that you can pass in time (viral situations) or other stress situations. Most important to evaluate I think is the tendence of slightly increasing SGPT (which is at the upper limit of the normal values) and SGOT (which has passed this level but is not increased with only liver problems but with muscle problems i.e havy exercise). Anywhere I d want to calm you down if you have excluded the other causes of liver diseases as the viral or autoimmune (your doctor) before arriving to the diagnosis of Gilbert Syndrome. You have to repeat the liver tests again one month after and not to take anything.