Suggest treatment for increase in billirubin value after treated jaundice
Patient: Sir  Im suffering from jaundice for the past 4 mths ,The billurubin level varies between 2.5 and 2.1 for a long time ,Last month when i had done a test it is 1.4 and it is normal ,again it got increased to 2.5 last week.I had undergone treat ment for the past three mths ,All medicines which i had taken are related to gastric ulcer,I didnt have symptomps of jaundice ,Only discomfort i have is a uneasyness at the right side of the heart that too due to gastric problem but it occurs most of the time ,Kindly suggest what i have to do as i have allready taken lot of medicines Doctor: Hello, I hope you are well. It is important to know all the parameters of your liver chemistry, since you should consider the type of bilirubin elevation, because it can be either of direct or indirect predominance and the diagnostic protocol and handling of the two cases differs .In addition, isolated hyperbilirubinemia may occur in combination with elevation of your liver enzymes and / or alkaline phosphatase or GGT levels to consider a possible obstructive condition in the biliary tract or some hepatolytic factor. That is why I suggest you perform a complete liver chemistry and from there make the right decisions regarding more studies and / or image.