Thalassemia Patients and Friends
Discussion Forums => Thalassemia-related Issues => Topic started by: Tarique Qureshi on May 30, 2017, 04:29:39 AM
-
Dear Andy Bro
my son age 18 years is facing a problem and that is his indirect bilirubin is 7.8.
How to face it . What are remedies to decrease it. His direct bilirubin is .3 which is normal.
your guidance is solicited. What are the consequences of higher indirect bilirubin and how to overcome it.
-
A marked increase in early-labeled bilirubin (ELB) formation has been documented in diseases associated with ineffective erythropoiesis, including the following:
Iron deficiency anemia
Pernicious anemia
Thalassemia
Erythropoietic porphyria
Lead poisoning
Hemolysis
Acute and chronic liver disease
link : http://www.medicalnewstoday.com/articles/315086.php
Once the bilirubin has left the liver, levels may be high because the bilirubin is unable to leave the body. This may be due to a blockage in one of the other organs that help with excretion such as gallstones in the gallbladder. This is called the post-hepatic phase.
TAriq,
also please wait for Andy ,, he will surely reply you .. :) ...
-
Thanks Nice Friend. Actually my problem is not total bilirubin rather my question is about Indirect bilirubin. Direct bilirubin indicates Jaundice but indirect bilirubin is something else.
Anyway let see what Andy brother is suggesting.
-
Is the boy thal major or thal minor?
-
He is Thal Major.
-
Has the co-existence of Gilbert's Syndrome been considered? This will cause higher indirect bilirubin.
-
In my case where its beta thal intermedia, indirect bilirubin has always remained high from 4.34 to 6.25 levels.