Gilbert's syndrome, tests showed mild fatty increase in liver, partially distended gallbladder. What precautions should be taken?
LFT shown fine except bilirubin. Bilirubin total: 2.20,
LFT:
Serum albumin: 5.2
serum alkaline phosphatase: 82
serum gamma gt: 20
serum globulin: 2.8
serum bilirubin total: 2.20
SGOT(AST): 26
SGPT(ALT):31
SERUM TOTAL PROTEIN: 8.0
A/G RATIO: 1.9
SERUM BILIRUBIN DIRECT: 0.34
BILIRUBIN INDIRECT: 1.69
Ultra shound whole abdomen screening:
Liver appers normal in size, share and mild increase in echogenicity. No focal parrenchymal lesions identified. No evidence if intra/extrahepatic bilary tree dilation noted. Portal vein appaears to be of normal size.
Hello and welcome to HCM, Gilberts diseases is a cause of hyperbilirubinemia due to increase in indirect bilirubin. Thus, the report suggests increase in both total and indirect bilirubin. Gilbert's disease is caused by decrease in enzyme required to convert unconjugated or indirect bilirubin to direct or conjugated bilirubin. All other liver function tests- SGOT, SGPT, albumin, globulin, alkaline phosphatase and gamma GT are within normal levels.
Medication need to be started/ continued for elevated bilirubin levels. Stay in touch with your treating doctor regularly.
Thanks and take care Dr Shailja P Wahal
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What Does Blood Tests And Scan Results Indicate?
Hello and welcome to HCM, Gilberts diseases is a cause of hyperbilirubinemia due to increase in indirect bilirubin. Thus, the report suggests increase in both total and indirect bilirubin. Gilbert s disease is caused by decrease in enzyme required to convert unconjugated or indirect bilirubin to direct or conjugated bilirubin. All other liver function tests- SGOT, SGPT, albumin, globulin, alkaline phosphatase and gamma GT are within normal levels. Medication need to be started/ continued for elevated bilirubin levels. Stay in touch with your treating doctor regularly. Thanks and take care Dr Shailja P Wahal