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Doctor insights on: Kernicterus Bilirubin And Breastfeeding

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Helow sir my newborn baby before 36 hours it is no drink milk and its bilirubin total 8.5 bilirubin direct 1.1 bilirubin indirect 7.4 this report?

Helow sir my newborn baby  before 36 hours it is no drink milk and its   bilirubin total 8.5 bilirubin direct 1.1 bilirubin indirect 7.4 this report?

All babies drink: Question is unclear. All new babies drink breast milk... unless there is a "bigger problem," such as prematurity, infection (sepsis), breathing problems, etc... The "bigger problem" usually becomes the worry, not the milk-drinking. The pediatrician can help explain any medical issues. Regarding lab results... numbers are just numbers, without much meaning unless a doctor can see the whole picture. ...Read more

Bilirubin (Definition)

Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more


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Can a nursing mother with high bilirubin breast feed?

Can a nursing mother with high bilirubin breast feed?

Yes: If you are talking about your infant's high bilirubin level-the answer is yes, you may continue to nurse. Speak with your pediatrician regarding the plan for probable coordination with possible phototherapy for your infant and taking breaks to feed. If your infant is severely ill, a premie, or carring an bilirubin level > 20, your doctor may have other recommendations. ...Read more

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Elevated liver enzymes and bilirubin on and off for 7 months is this normal with fatty liver?

Elevated liver enzymes and bilirubin on and off for 7 months is this normal with fatty liver?

Probably: It's a given that fatty liver is not normal. I trust that additional concerns -- notably wilson's -- have been ruled out, and that you're taking steps, including aerobic fitness, to keep the fatty liver at bay. I'm glad you're keeping this under close watch and hope you'll stay proactive. ...Read more

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Can fatty liver increase and decrease liver enzymes all the time? Alt 110 AST 50 alp 103.... Bilirubin is 1.15 and direct 0.12

Can fatty liver increase and decrease liver enzymes all the time? Alt 110 AST 50 alp 103.... Bilirubin is 1.15 and direct 0.12

Yes: Liver elevations in non-alcoholic fatty liver disease rise and fall unpredictably. I trust hepatitis c and medication allergy have been ruled out. It's not widely known, but a key to managing non-alcoholic fatty liver is aerobic fitness -- think about increasing your commitment to an athletic lifestyle. ...Read more

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Why there's indirect hyperbilirubinemia in neonate of mother with diabetes?

Why there's indirect hyperbilirubinemia in neonate of mother with diabetes?

Neonatal Jaundice: Indirect hyperbilirubinemia is not limited to infant of diabetic moms. It is a function of the newborn being relatively ineffective at clearing old red blood cells. It can be caused by high rbc count (polycythemia) which is common in infant of diabetic moms. Also, many other causes. Easily treated and common in the newborn period. ...Read more

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Why does liver and kidney failure lead to eyes turning yellow and skin jaundiced?

Why does liver and kidney failure lead to eyes turning yellow and skin jaundiced?

Bilirubin : Bilirubin will accumulate because the liver cannot metabolize it and the kidneys cannot excrete the bilirubin, hence the yellow jaundice. ...Read more

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If my levels of bilirubin and urobilinogen in urine is normal, does this indicate a healthy liver? I'm having routine liver enzyme tests and nervous.

If my levels of  bilirubin and urobilinogen in urine is normal, does this indicate a healthy liver? I'm having routine liver enzyme tests and nervous.

Liver enzymes: While it is encouraging that these urinary tests are normal, they are not enough to ensure that your liver is healthy by themselves. If your doctor recommended routine screening tests of your liver, the blood tests are the only way to go. I would not worry; the vast majority of the people having a routine screening have completely normal liver tests. Good luck. ...Read more

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Doctor my dad is having jaundice bilirubin level 18mg and stone in pancreas.when the bilirubin level will be reduced? Is that curable??

Doctor my dad is having jaundice bilirubin level 18mg and stone in pancreas.when the bilirubin level will be reduced? Is that curable??

Biliary Tract stone: A stone near where the common bile duct drains the liver can block the flow of bile from the liver and lead to jaundice. These stones can be removed by a variety of methods. Assuming there is no hidden reason (like a tumor) for the blockage and assuming no complications from the surgical procedure, the condition is curable. Often the stone can be removed in a minimally invasive technique. ...Read more

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Treatment for adult with bilirubin level 24 due to alcoholic jaundice?

Treatment for adult with  bilirubin level 24 due to alcoholic jaundice?

Stop Alcohol/nutriti: There is no way to predict how high the bilirubin can go, it may go higher if you keep drinking first step is to stop drinkin second is proper nutrition naltrexone or acamprostate may be prescribed in some cases in late stage with cirrhosis liver transplant nothing will work if one keeps drinking, will lead to cirrhosis and liver failure in time. ...Read more

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I mhbv positive with hpeantigen negative with raised prothobin time raisedconjugate bilirubin nor tot bilirubin raisedsgot sgpt and fatty liver change?

Need to evaluate: Elevated prothrombin time, bilirubin and liver enzymes warrant further evaluation for liver health. It would be prudent to consult a GI/Liver specialist. In the meantime, refrain from alcohol, Tylenol. Try to lose weight. ...Read more

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Total protein 8.2 ,bilirubin 1.8,hdl-cholest 36, prolactin 31.7,problem with liver??

Elevated bili: Your bilirubin is elevated and should be investigated. To know if it's your liver or gall bladder (or bile ducts) or hemolytic anemia, much more information is necessary. ...Read more

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How concerning is bilirubin in infants?

Bilirubin: Mild jaundice in newborns is harmless. However, if the level gets too high, it can cause brain damage. That's why you want to make sure to have it ministered by your doctor. ...Read more

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Chronic Elevated Total bilirubin (2.5) direct bilirubin (0.5) and indirect bilirubin (2.0). All other liver enzymes are normal. What causes this??

Sounds serious: Hello again Matt. If your direct bilirubin is actually 0.5 mg/dL now, then this is more than Gilbert's which I understand is diagnosed. If this is not a lab error, then I suspect you have cholestasis too for some reason and you deserve a workup by somebody who's good with liver disease. Actually, the alprazolam / Xanax you're taking occasionally causes this. You might start there. Best wishes. ...Read more

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For what reasons urine darkens in hepatic jaundice?

For what reasons urine darkens in hepatic jaundice?

Bilirubin in urine: Bilirubin is major breakdown product of normal red blood cell metabolism. Is normally converted by liver into bile secreted into bile ducts, stored in gall bladder & excreted into duodenum. Diseased liver, causing hepatic jaundice, can not make bile from bilirubin, skin & eyeballs turn yellow & bilirubin is excreted by kidneys which in turn darkens the urine. Hope I have explained it well enough. ...Read more

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I have fatty liver from obesity ALT is 9 AST is 10 total bilirubin is 1.3 and direct is 0.2 is that high for bilirubin?

Gilbert's syndrome: You most likely have gilbert's syndrome. This is not a serious condition that occurs because of impaired conjugation of bilirubin. The total bilirubin is elevated because the indirect bilirubin or unconjugated bilirubin is high. Your liver function is otherwise normal, but if you have fatty liver, avoid alcohol and other hepatotoxic agents. Optimize your weight and follow-up with gi. ...Read more

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Can cardiomyopathy in mother cause severe jaundice and low hemoglobin in 19 day old infant?

Can cardiomyopathy in mother cause severe jaundice and low hemoglobin in 19 day old infant?

Not likely: It appears your child has some kind of a hemolytic process going on. You need the immediate help of a pediatric hematologist. ...Read more

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Ttl. Bilirubin 4.5. Direct 0.9 and yellowing of eyes! liver functioning normal. Neg for hepatitis. Gallbladder ultrasound norm. Gilbert's disease?

Ttl. Bilirubin 4.5. Direct 0.9 and yellowing of eyes! liver functioning normal. Neg for hepatitis. Gallbladder ultrasound norm. Gilbert's disease?

Yes: Your description is classic for diagnosing gilbert's. Given how many repeated questions you have written questioning this diagnosis, you could spend $400 to get the gene responsible for gilbert's sequenced to verify the diagnosis. See: http://dnatesting.Uchicago.Edu/tests/65. ...Read more

Dr. Darrin Cunningham
4 doctors shared insights

Breastfeeding (Definition)

Breastfeeding is providing nutrition to an infant using breat milk either directly by infant latching and sucking on the nipple or by feeding via bottle with expressed breast milk (when baby has difficulty suckling). Breast milk is the best milk for any baby but ...Read more


Dr. David Boyle
40 doctors shared insights

Kernicterus (Definition)

When severe jaundice is not treated, it can cause kernicterus. This is a type of brain damage that can result from high levels of bilirubin in a baby’s blood. It can cause athetoid cerebral palsy, hearing loss, ...Read more