Why is bilirubin decreasing more and more slowly?

Jul 01, 2024 Source: Cainiu Health
Disease description:

Before, my bilirubin level dropped quickly, but later it decreased very slowly. I'm quite worried. May I ask, why does bilirubin level decrease more and more slowly?

Doctor's answer (1)
Dr. Shen Yonghua
The reasons why bilirubin levels decrease more slowly over time may involve multiple factors: 1. Physiological factors: After bilirubin levels drop to a certain level, the rate of decline naturally slows down, which is a normal physiological phenomenon. 2. Unhealthy lifestyle habits: Long-term late-night stays, insomnia, excessive alcohol consumption, and a fatty diet may all affect liver function, slowing bilirubin metabolism and thus reducing its clearance rate. 3. Liver function impairment: Particularly in patients with chronic liver diseases such as hepatitis and cirrhosis, severe liver damage can affect bilirubin metabolism and excretion, resulting in a slow decline or difficulty in complete resolution of bilirubin levels. 4. Improper or inadequate treatment: During treatment, inappropriate medication use or insufficient dosage may also affect the rate at which bilirubin levels decrease.