How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr.Saleem Your Own Question

Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 629
Experience:  MBBS
Type Your Medical Question Here...
Dr.Saleem is online now
A new question is answered every 9 seconds

my spouse bilirubin is at 28 will it ever go down

Resolved Question:

my spouse bilirubin is at 28 will it ever go down
Submitted: 4 years ago.
Category: Medical
Expert:  Dr.Saleem replied 4 years ago.
Hi,
Welcome to justanswer!

Do you have underlying diagnosis? cause of raised bilirubin?
As Bilirubin can go down Unless the underlying cause is treated...
and what treatments have you tried?

Regards.
Customer: replied 4 years ago.
He had liver failure, diagnosis 1.alcoholic cirrhosis,ascites, 2.status post paracentesis, 3.lower extremity edema, secondary to cirrhosis and hypoalbuminemia. 4.Hyponatremia, secondary to cirrhosis. history of gout. 6.hyperbilirubinemia and elevated liver function tests.
He is not drinking.
his bloting in belly is down, and water swelling in his legs has gone down.
Meds are- Lexapro, folic acid, lasix, Lactulose,Levaquin, therapeutic-M, prilosec,Spironolactone 100mg and 100mg B-1
Expert:  Dr.Saleem replied 4 years ago.
Hi,

As you know Cirrhosis (liver damage) is a serious condition that destroys healthy liver tissue, leaving scar tissue that can block the flow of blood through the liver. Cirrhosis progresses slowly, gradually causing the liver to stop functioning.


Cirrhosis cannot be cured, but treatment can slow the condition’s progress.
Since he had developed cirrhosis and complications. Treatment for cirrhosis cannot reverse liver damage, but it can stop or slow progression of the disease and reduce complications.

Such rises in bilirubin in the setting of cirrhosis result from acute decompensation, which is caused by many factors like natural progression of the disease, acute on chronic hepatitis or hepatoceellular carcinoma.

As he is already taking diuretics (to reduce ascites and edema and other supportive treatment). and surely cutting alcohol. Now first step would be to find the cause of this rise in bilirubin for which tests for acute hepatitis, USG abdomen or CAT scan abdomen for carcinomas.

The definite treatment is transplantation.


Feel Free to ask any queries about the answer!
I hope the answer was helpful..
Regards
Don't forget to click ACCEPT, if i have answered to your satisfaction. A positive feedback and bonus will be highly appreciated
Expert:  Dr.Saleem replied 4 years ago.
Hi,

Treatment of the underlying cause is mainstay of lowering bilirubin in the body like if there is associated acute infection, treatment of the infection. and if there is underlying tumor blocking the biliary tree, removal of the tumor or stenting or dilatation of the duct would be the option. and more definitely transplantation.


Feel Free to ask any queries about the answer!
I hope the answer was helpful..
Regards
Don't forget to click ACCEPT, if i have answered to your satisfaction. A positive feedback and bonus will be highly appreciated
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 629
Experience: MBBS
Dr.Saleem and 4 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.