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General Medicine
Question #38459
127 days ago
320

why bilirubin increases - #38459

Riley

I am really worried! I went for a routine check-up and they found out my bilirubin levels are high. Like, way too high! The doctor said it’s a sign of possible liver problems, but I don’t really feel sick, you know? I mean, I’ve been feeling kinda fatigued sometimes and maybe a bit of yellowing in my eyes, but nothing super alarming. I thought I was fine. Why bilirubin increases? Like, what could be causing this? I started googling stuff and saw all these weird terms like hemolysis and liver disease, but it’s overwhelming and kinda scary. One friend said it might just be dietary stuff, but I honestly have no idea what that means. I eat pretty regular—maybe too many takeout meals lately. I’ve also been under a lot of stress because of work lately, and I hear that can mess with your body. Is that connected? I’m just looking for any advice or what to maybe expect next, because I keep going in circles thinking about all the possibilities. Do you think a change in my diet or some herbs could help? Would love any insights!

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Doctors' responses

Bilirubin levels increase when there’s a disturbance in its production, processing, or elimination. It’s mostly tied to liver function, but not always directly the liver’s fault. It can also indicate increased red blood cell breakdown, known as hemolysis, or issues with bile excretion pathways. The liver converts the bilirubin into a form that can be secreted in bile – if this system isn’t working rightly, bilirubin builds up in the body.

From an Ayurvedic perspective, this can be linked to a Pitta dosha imbalance; liver being a major seat of Pitta. Stress, indeed, can aggravate Pitta and Vata doshas, impacting liver health and digestion, leading to increased bilirubin. Processed and spicy foods, typically connected with takeout, elevate Pitta too. If you’re consuming excessive oily or spicy takeouts, consider to cut this down significantly. Opting for a more Sattvic (pure) diet would be beneficial – think of it as clean eating, with fresh vegetables, fruits, whole grains, and legumes.

To support the liver, Ayurvedic herbs like Kutki (Picrorhiza kurroa) and Bhumi Amla (Phyllanthus niruri) are traditionally used. These are believed to strengthen liver function and support healthy bile flow. Start with a simple decoction, if available, or consult an Ayurvedic practitioner for tailored advice.

Remember, fatigue and yellow eyes are signals; don’t ignore them. These symptoms merit a further medical evaluation. Working with your modern healthcare provider is crucial. They might recommend liver function tests (LFTs) or imaging. Stress management plays a role too - try yoga or meditation. Both effective in balancing Vata, can assist in reducing your overall anxiety.

Act promptly on your dietary alterations and stress management, but do not delay formal medical evaluations or treatment — always put your health first in this kind of situation!

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