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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 52493
Experience:  Medical Doctor Trained at a Top Academic Institution
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I am 80 years of age, had open heart surgery 6 months ago,

Customer Question

I am 80 years of age, had open heart surgery 6 months ago, have had a faal and now have compression fracture at T24. At present have no strength and cannot get up from a bed or chair unassisted. Have abdominal and back pain. Have a morphine patch that is changed weekly. Am a Warfarin patient.
Am at present in a Frail Care. resident in South Africa
Submitted: 11 months ago.
Category: Medical
Expert:  Dr Uzair replied 11 months ago.

Hi and thanks for the query,

Please let me know what do you want to ask ?

Customer: replied 11 months ago.
I have bilirubin in my urine. Does this indicate liver deterioration? If so, what treatment do I need?
Expert:  Dr Uzair replied 11 months ago.

Hi and thanks for the query,

Billirubin in urine is always abnormal and causes include, Liver or Gallbladder disease or obstruction in billiary tract. I would suggest you must visit your physician on priority basis to have thorough physical examination and imaging of abdomen to identify the cause so that it can be treated accordingly and timely.

Let me know if you have further questions.

Please do leave a positive rating by clicking on stars on top right corner.

Wish you good health.

Expert:  Dr Uzair replied 11 months ago.

Let me know if you have further questions.

Expert:  Dr. Phil, MD replied 11 months ago.

I would like to provide another opinion.

Bilirubin in the urine could also be from a blood disorder.

If you are breaking up red blood cells (due to a variety of causes) then this might be the cause

The first step is to get further tests. You need a blood level for bilirubin (both unconjugated and conjugated) plus a blood level for LDH and haptoglobin.

Then go from there.

We don't know if it is liver or blood yet