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what causes high bilirubin
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General Medicine
Question #35908
122 days ago
395

what causes high bilirubin - #35908

Victoria

I am feeling really confused and worried about my recent blood tests. My doctor said that I have high bilirubin levels, and I have no idea what causes high bilirubin. I mean, I thought it was just something we hear about in news or something, but now it's actual and super personal. I started noticing yellowing in my skin and eyes a few weeks ago, and honestly it freaked me out. I thought it was just me being tired, but turns out it’s something deeper. I didn't even feel sick before this, but once the tests came back, it was like one thing led to another. There were a few other symptoms too, like fatigue and a bit of itching, but I thought it was allergies or something. My doctor said that it could be liver issues or maybe even something related to my bile duct, but I really want to know what causes high bilirubin specifically. I read a little about hemolysis, and I just can't wrap my head around how that fits here. Could it be something I’m eating? Genetics? I have no family history of liver problems or anything. If anyone has experienced something similar or knows what causes high bilirubin, I would really appreciate any insights! Like, could stress be a factor or is that just my mind racing? Just feeling kinda lost right now. Thanks in advance!

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Doctors' responses

High bilirubin is an indication that your body’s processes for breaking down red blood cells may not be functioning efficiently and could be associated with different potential causes. Let’s unravel this using both modern and Ayurvedic perspectives.

Firstly, in a conventional medical context, bilirubin is a byproduct of the breakdown of hemoglobin from red blood cells. When bilirubin levels increase (a condition known as hyperbilirubinemia), it might be due to liver dysfunction (like hepatitis), bile duct obstruction, hemolysis (increased breakdown of red blood cells), or even genetic disorders like Gilbert’s syndrome which affects liver’s ability to process bilirubin. Your symptoms—jaundice (yellowing of skin and eyes), itching, fatigue—support any of these possibilities.

Ayurveda views liver issues through the lens of doshas and Agni (digestive fire). High bilirubin might signal an imbalance, particularly of Pitta dosha, as liver is the seat of Pitta in body. Thus, dietary choices can play a role. Foods that exacerbate Pitta, such as spicy, oily, or fried foods, might contribute to imbalances further aggravating hyperbilirubinemia symptoms. Stress often amplifies Pitta too, so while not a direct cause, it could exacerbate an existing condition.

Consideration of diet might help your situation: prioritize cooling, hydrating foods like cucumbers, and melons. Incorporating bitter-tasting vegetables, such as karela (bitter gourd), might support liver function. Turmeric and amla (Indian gooseberry) are known for their hepatoprotective (liver-protecting) qualities.

Simplify lifestyle stress with mindful practices like yoga or meditation to reduce Pitta provocation. Nonetheless, discussing with healthcare provider for further detailed tests or liver-function tests is crucial to rule out more serious liver conditions promptly. Addressing any underlying issues with a comprehensive approach like this can help manage bilirubin levels.

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High bilirubin levels often stem from how your body processes red blood cells, liver health, or bile duct system. In Siddha-Ayurvedic terms, this can be viewed as an imbalance in the pitta dosha, which governs digestion, metabolism, and transformation in the body. When your liver or bile duct faces disruptions, it affects this transformational process, leading to an accumulation of bilirubin—a byproduct of red blood cells breaking down.

Several factors could result in elevated bilirubin. Liver conditions like hepatitis or cirrhosis might impede the liver’s ability to process bilirubin properly. Gallstones or blockages in the bile duct can prevent bile (which carries bilirubin) from being effectively excreted. As you suspected, hemolysis—where red blood cells break down prematurely—can also increase bilirubin levels, as the body struggles to manage the excess bilirubin from these cells breaking apart.

Diet and lifestyle have significant roles too. For an Ayurvedic approach, focus on balancing pitta by consuming cooling, bitter, and astringent foods, like leafy greens, cucumber, and pomegranate. Avoid spicy, oily, and excessively sour or salty foods that could aggravate pitta. Keeping hydrated with water or herbal teas like coriander or fennel can support your system.

Moreover, incorporating practices such as Pranayama or gentle yoga can help manage stress, which might indirectly affect your body’s balance. It’s essential to follow your doctor’s advice, especially if more testing or treatment is needed. Serious liver or bile duct issues require immediate attention, and Siddha-Ayurvedic practices can complement but not replace modern medical treatments. Always consult with your healthcare provider before making significant changes to your regimen or if symptoms persist.

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Thanks for the detailed and easy-to-follow response! You've given me a clear plan to tackle my allergies. So appreciative for the advice!
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Thanks doc! Your recommendations were clear and easy to understand. I'll give it a try and hope those allergies calm down!
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