I have a history on binge drinking (5- pints of larger) on a Friday or a Saturday night. Occasionally I do a club night which includes some protracted drinking in heavier quantities. I am very fit and recently gave up amateur swimming for my city club but kept running 2 x 10km a week and various weights circuits, I also carry a body fat < 10% and my resting heart rate is 44.
About 12 weeks ago I went to the doc as I am genetically positive for Hypertrophic Cardiomyapathy. I did this after a few beers I had some pain in my neck and a few palpitations the next day and when running I got very dizzy and had chest pains. I had an eco test, ECG and physical by a Prof of Cardiovascualr medicine and all was 100% good.
I decided to stay off the booze but 6 weeks ago went for 5 pints. I awoke the next day feeling very hungover. Since this day I have felt very fatigued and generally unwell. I have been unable to partake in any sports apart from my 6 miles cycle to work and back.
I got the fear of god in me that I had Alcoholic Hepatitis. I had some bloods done and I my Bilirubin came back as 35, which is high. My ALT/AST were fine as was everything else with my blood was perfect. I got really worried and went for an Ultrasound and a Fibroscan and both came back fine, the Fibrsocan came back at 4.8 (little or no scarring). Essentially, my liver was structurally perfect.
In short the fatigue (heavy eyes during the day) is still with me and my stamina in exercise is reduced, I am also over sleeping and getting night sweats. My GP is says I have Gilbert's syndrome (although none of my family have a history) and has put many of my symptoms down to depression and severe stress. I am indeed depressed but I put this down to the constant fatigue. I am also due to be moving to Sydney with work for 3 years in mid-October which isn't helping my stress levels. My depression is getting worse as I am petrified that I'll never be my old self.
Was your bilirubin value 35? Its way too high. Normal levels of bilirubin are Total bilirubin: 0.3 to 1.9 mg/dL. Direct (also called conjugated) bilirubin: 0 to 0.3 mg/dL. Indirect (also called unconjugated) bilirubin: 0.2 to 0.7 mg/dL. So, if these values are persistently raised it needs to be determined, why they are raised. the raised levels could be causing your symptoms. If the liver is structurally normal and other imaging and liver function tests do not reveal anything, you may need a liver biopsy to determine the cause for hyperbilirubinemia.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.