Why elevated bilirubin and what to do?

Bilirubin is an organic substance that appears as a result of the breakdown of red blood cells. Like any breakdown product, it must be removed from the body in a timely manner, but if for some reason this does not occur, bilirubin can accumulate in the blood. That means increased bilirubin in the blood, will be discussed below.

Initially, this pigment is formed in an indirect form - a toxic compound insoluble in water and ethers, which is in crystalline form. The indirect form cannot be eliminated from the body along with waste products. However, entering along with the bloodstream, indirect bilirubin in the liver is converted into a direct form, which dissolves in water and leaves the body along with feces and urine. Bilirubin has a red-brown color, and this is due to the color of the products of human life.

Table of contents:
  • Symptoms of elevated bilirubin
  • How to pass an analysis for bilirubin?
  • Causes of elevated bilirubin
  • Increased bilirubin during pregnancy
  • Diet with elevated bilirubin

The rate of total bilirubin in the blood is 3.4-17.1 μmol per liter, but these values ​​may vary depending on age and gender. For more information on the causes of deviation, see http: //vseproanalizy.ru/ biohimicheskiy-analiz-krovi /belki/ obshhiy-bilirubin.html

If the real bilirubin values ​​obtained from a blood test exceed the normal values, they say elevated bilirubin in the blood or hyperbilirubinemia.

to contents ↑

Symptoms of elevated bilirubin

The high concentration of pigment in the blood is accompanied by a change in skin color, eye protein, and urine to darker with a predominant yellow and slightly gray tint.

Discomfort with elevated bilirubin in the blood is felt after exercise. After physical activity, the patient feels pain on the right side of the ribs, weakness, nausea, fatigue, headache, and fever.

If you experience these symptoms, it is recommended that you inform your doctor and take a blood test. If bilirubin is elevated, the next step is to look for factors and diseases, which increases bilirubin in the blood, and their treatment.

to contents ↑

How to pass the analysis for bilirubin?

In adults, blood is collected from a vein for analysis of bilirubin concentration, and from a heel in infants. At the same time, adults need to be ready for analysis in advance in order to obtain adequate results corresponding to the real picture:

  • Not to eat 12 hours before the analysis;
  • Do not drink 4 hours before analysis.

It is also advisable not to be overloaded either emotionally or physically. The blood is delivered by the patient mainly in the morning.

to contents ↑

Causes of elevated bilirubin

High concentrations of bilirubin in the blood can cause increased red blood cell hemolysis, impaired liver and biliary tract, loss of a link from the chain of enzymes necessary for normal transfer and cleavage of bilirubin in the liver, etc. In general, the causes of increased bilirubin in the blood can be divided into several groups.

  1. Blood Diseases

Anemia contributes to increased red blood cell breakdown, resulting in an increased level of indirect bilirubin. Some acquired diseases( for example, autoimmune or malaria) can cause hemolytic anemia. Anemia can also be congenital, and you need to know how to keep the body's performance within the normal range.

  1. Liver Diseases

Causes of elevated bilirubin in the blood often relate to the functionality of the liver, or rather, its ability to convert indirect bilirubin to a straight line. Diseases that may impede the healthy process of changing a toxic pigment from one form to another:

  • Hepatitis;
  • Cirrhosis;
  • Cancer;
  • Gilbert syndrome( a congenital disease characterized by abnormal liver enzymes).

High bilirubin in the blood in this case should be investigated together with a number of other tests.

  1. Bile ducts

If there are disturbances in the functioning of the gallbladder or even partial destruction of this organ, significant amounts of bilirubin can enter the blood through the bile ducts. The cause of high bilirubin in the blood of adults may be some drugs that affect the level of bilirubin in the gallbladder and blood as a side effect.

  1. Parasites

Also, when looking for the reasons why bilirubin is elevated in the blood, you should not abandon the version of the presence of worms in the body. In addition to the main symptoms, parasites can affect the level of bilirubin in the blood.

  1. Vitamin B12 deficiency

A deficiency of this beneficial vitamin in some cases can cause an increase in bilirubin in the bloodstream.

to contents ↑

Elevated bilirubin in pregnancy

Pregnancy itself does not affect the level of bilirubin in the blood. If the woman was relatively healthy before the pregnancy, led a correct lifestyle and did not complain of liver, gallbladder or anemia, a slight increase in bilirubin is probably not dangerous for her or the baby.

However, for the future mother, all of the above painful conditions are characteristic, with bilirubin in the blood being elevated.

If the deviation of the analysis from the norm is caused by the stagnation of bile, it is necessary to eliminate the problem that the future mother’s anxiety about this has passed.

The child himself can influence the amount of bilirubin in the mother’s blood, increasing it slightly. This is not beyond the norm.

In any case, if a high level of bilirubin is found in a pregnant woman's body, it is necessary to identify the causes of this phenomenon, reconsider all medications taken and exclude the possibility of developing pathology.

to contents ↑

Diet with increased bilirubin

In addition to the obvious methods of treatment prescribed by the doctor, based on the reason why the bilirubin in the blood rises in each case, the patient can facilitate the work of your body. In case of serious pathological processes, the revision of your diet is obligatory.

. The list of prohibited products for the period of treatment includes:

  • Pickles;
  • Large amounts of salt;
  • Pickled Cabbage;
  • Canned;
  • Flour products with baking powder( especially cakes, pastries);
  • Smoked Meat;
  • Spicy foods and spices;
  • Sour fruits and berries;
  • Rich meat and mushroom broths;
  • Seafood;
  • Alcohol;
  • Fat Meat;
  • Cheese;
  • Cocoa and Chocolate.

You can and should add to your diet with increased bilirubin:

  • Low-fat dairy products;
  • Natural drinks based on fruits and dried fruits;
  • Adequate water;
  • Lean boiled meat;
  • Honey and jam as an alternative to the usual sweets;
  • Cereals, including those cooked in milk, without salt;
  • Sweet fruits and berries;
  • Fish.

Also during the diet should eat small portions, several times a day. The interval between meals reduced to 2.5 hours or less.

We hope that it has become much clearer to you what this means “total bilirubin increased,” but if there are still some questions left, leave comments.

God bless you!