On jaundice treatment, on complete fat free diet, bilirubin levels reduced. Continue fat free diet? Reason for increase in Indirect bilirubin?
Patient: Hi sir I am on Jaundice Treatment from 7 Jul 2012. On 07 jul My bilirubin levels were as follows: Total 7.4 Direct 5.2 Indirect 2.2 I was on complete fat free diet for a month. On 07 Aug,My bilirubin levels were as follows: Total 1.04 Direct 0.62 Indirect 0.42 Again I was on fat free diet for 10 days and today (17 Aug),My bilirubin levels were as follows: Total 0.95 Direct 0.31 Indirect 0.64 Should I continue fat free diet?What may be reasons for Increase in Indirect Bilirubin? Doctor: Hello,          Your laboratory reports seem to be consistent with diagnosis of viral hepatitis. In a normal person the fraction of indirect bilirubin is more than that of direct bilirubin. In hepatitis the bilirubin increases, with a greater increase in direct bilirubin. Now as you are recovering the total and direct component of bilirubin will decrease. Your last report is absolutely normal. The indirect bilirubin has increased very marginally as compared to the previous report but is within normal range. You need not worry about it.         You can have a normal diet now.         Hope that helps.Regards,Dr. Preeti