What should I do if my total bilirubin level is 600 μmol/L?
Disease description:
My uncle has been experiencing dizziness, blurred vision, and general weakness for the past six months. At times, he also suffers from severe headaches that do not improve with medication. Tests have shown his total bilirubin level to be over 600 μmol/L. What should be done?
Doctor's answer (1)
Dr. Yang Ziqi
When the total bilirubin level rises to over 600 μmol/L, it requires immediate attention and prompt medical consultation. This level indicates hyperbilirubinemia, which may be caused by liver disease or biliary tract problems. Main treatment approaches include:
1. Identify the underlying cause: Conduct a thorough physical examination and necessary laboratory tests, such as liver ultrasound and hepatitis B surface antigen/antibody testing, to determine the specific cause of elevated bilirubin.
2. Targeted treatment: Select appropriate treatment methods, such as medication or surgical intervention, based on the identified cause. If the elevation is due to biliary obstruction, surgical treatment may be necessary.
3. Supportive care: During treatment, attention should be given to dietary adjustments, avoiding spicy and irritating foods while increasing intake of foods rich in vitamins. Maintaining a healthy lifestyle and positive mindset is also important.
4. Regular monitoring: Throughout and after treatment, bilirubin levels should be regularly monitored to assess treatment response and detect any changes in the condition.
