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‪@dr.anjaliwellnessvlog22‬ 🔬 Common Reasons for Persistent Elevated Bilirubin:

1. Incomplete Recovery from Liver Disease
• Conditions like hepatitis (A, B, C, E), alcoholic hepatitis, or fatty liver disease may take weeks to months for liver function to normalize.
• The liver might still be inflamed or healing slowly.

2. Ongoing Hemolysis
• Continued breakdown of red blood cells can raise indirect (unconjugated) bilirubin.
• Seen in conditions like hemolytic anemia, sickle cell disease, or autoimmune disorders.

3. Bile Duct Obstruction (Cholestasis)
• Gallstones, tumors (like cholangiocarcinoma or pancreatic cancer), or bile duct stricture can block bile flow.
• Leads to increased direct (conjugated) bilirubin.
• Often associated with pale stools, dark urine, and itching.

4. Liver Cirrhosis or Chronic Liver Disease
• Scarring of the liver impairs bilirubin processing.
• Can result from long-standing hepatitis, alcohol abuse, or NAFLD.

5. Gilbert’s Syndrome
• A harmless genetic condition where indirect bilirubin is mildly elevated, especially during stress or illness.
• No treatment needed, but bilirubin may stay slightly high.

6. Medication-Induced Liver Injury
• Certain drugs (e.g. antibiotics, anti-tuberculars, paracetamol in high doses) can affect liver function.
• May delay recovery if not stopped.

7. Infection or Re-infection
• A second viral infection or persistent infection (like hepatitis B or C) can delay bilirubin normalization.

⸻

🧪 What Should Be Done:
• Repeat liver function tests (LFTs): ALT, AST, ALP, GGT, total/direct bilirubin.
• Ultrasound abdomen to check liver and bile ducts.
• Viral markers if not done or if re-infection is suspected.
• Hemolysis workup: CBC, LDH, haptoglobin, reticulocyte count, Coombs test if indirect bilirubin is high.

For appoitments-wtsap-62384 67671
Dr. Anjali S Manoj
Homoeopathic physician
Ernakulam
#dr.anjaliwellnessvlog

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