Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Liver Transplant (Expert Forum)
Total bilirubine too high
Questions posted in the Liver Transplant . Forum are answered by medical professionals from The Mount Sinai Medical Center.
Total bilirubine too high
by khmerupgrade, Oct 19, 2009 08:35PM
Hello
I was an acute hepatitis B patient. After taking lamivudine 100mg treatment about 30 months, it has recovered and developped Anti-HBs (40 UI/l, blood test 21th February 2009) but still, total bilirubine was as followed:
1st Total bilirubine : 49,0 μmol/l (N: < 17,1) (15 Dec 2008)
2nd Total bilirubine : 42,2 μmol/l (N: < 17,1) (17th Jan 2009)
3rd Total bilirubine : 32,9 μmol/l (N: < 17,1) (17th Oct 2009)
Could you please answer my questions?
1- Why total bilirubine still high? What is the cause?
2- May you advice me about dietary food to get rid of hyper bilirubinemia?
I stopped using lamivudine 100mg after recovery. In my country, the doctor who is specialized in hepato-gastro-Enterology are still not available.
yours,
I was an acute hepatitis B patient. After taking lamivudine 100mg treatment about 30 months, it has recovered and developped Anti-HBs (40 UI/l, blood test 21th February 2009) but still, total bilirubine was as followed:
1st Total bilirubine : 49,0 μmol/l (N: < 17,1) (15 Dec 2008)
2nd Total bilirubine : 42,2 μmol/l (N: < 17,1) (17th Jan 2009)
3rd Total bilirubine : 32,9 μmol/l (N: < 17,1) (17th Oct 2009)
Could you please answer my questions?
1- Why total bilirubine still high? What is the cause?
2- May you advice me about dietary food to get rid of hyper bilirubinemia?
I stopped using lamivudine 100mg after recovery. In my country, the doctor who is specialized in hepato-gastro-Enterology are still not available.
yours,
Member Comments (1)
by Thomas D Schiano, MD, Oct 20, 2009 07:01AM
, Oct 20, 2009 07:01AM
you should check the HBV-DNA as the HBV could possibly come back or you can develop a lamivudine-related mutation (although unlikely in the setting of a (+) surface Ab). Fractionate the bilirubin level--if mostly indirect it thus probably is Gilbert's disease (which is nothing to worry about).
Post Comment
Recent Videos
RSS
Expert Activity
Related Communities
