Pediatric indirect bilirubin is high please be admitted by a pediatrician .

Updated on healthy 2024-02-18
4 answers
  1. Anonymous users2024-02-06

    Indirect bilirubin is mainly destroyed by red blood cells, and it is called indirect bilirubin that is not glucuroniated in the liver. Indirect bilirubin is metabolized by the liver and can be changed to direct bilirubin, which is excreted into the biliary tract with bile and finally excreted through the stool. Indirect bilirubin is an important indicator in the clinical work-up for liver disease.

    When a large number of red blood cells in the body are destroyed to produce a large amount of indirect bilirubin, which exceeds the compensatory capacity of the liver, the liver cells cannot convert all of it into direct bilirubin, so the content of indirect bilirubin in the blood increases. Indirect bilirubin can penetrate cell membranes, has a toxic effect on cells, and cannot be excreted through the kidneys. Indirect bilirubin can be elevated in patients with hepatitis and cirrhosis.

    So, what are the specific causes of high indirect bilirubin?

    Causes of high indirect bilirubin

    1. Liver disease

    Some malignant diseases can also cause high levels of indirect bilirubin in the blood. Such as acute jaundice hepatitis, acute yellow liver necrosis, chronic active hepatitis, liver cirrhosis, etc.

    2. Hemolytic anemia

    When there is too much indirect bilirubin in the blood, it exceeds the transformation ability of the liver, so that the indirect bilirubin is retained in the blood, which causes the indirect bilirubin in the blood to be high, which is also called hemolytic jaundice, and the patient usually has the symptoms of yellowing, sclera yellowing, and urine yellowing.

    3. Blood type incompatibility and blood transfusion

    When blood with incompatible blood is transfused, it will cause hemolysis, which will destroy a large number of red blood cells in the body, resulting in high indirect bilirubin in the blood.

    4. Hepatocellular jaundice

    When hepatocytes are diseased, either because bilirubin [2] cannot be converted into bile normally, or because hepatocytes are swollen, the bile ducts in the liver are compressed, and the excretion of bile is blocked, so that the bilirubin in the blood is elevated.

    5. Neonatal jaundice

    When the newborn is born, jaundice appears 48-72 hours after birth (jaundice does not appear in the order of face, top, trunk, and limbs), and the spirit is not good, and it does not subside within 2 weeks, which is mainly caused by the mother-child blood type or the congenital biliary malformation of the newborn, which will also lead to high indirect bilirubin in the blood.

    Indirect bilirubin can be elevated in patients with hepatitis and cirrhosis, and a high level of indirect bilirubin indicates that the liver is compensated or that there is a liver problem.

    The principle of rational diet

    What should I do if indirect bilirubin is high?

    1. Eat less high-calorie foods such as pastries, and obese people should properly control the total calories of food.

    2. Eat less cholesterol foods such as animal offal and preserved eggs, and although the egg yolk contains high cholesterol, it contains lecithin, which has a preventive effect on arteriosclerosis, and can be eaten appropriately, but it should not exceed 2 per day. What to do if indirect bilirubin is high.

    3. Eat less and eat more often, prohibit smoking and alcohol, and drink tea often.

    4. Food should not be too salty, eat more foods rich in potassium, iodine and chromium.

    5. Eat more fresh fruits, legumes, and vegetables rich in vitamins and fiber.

    6. Vegetable oil should be the mainstay, and less pork fat should be eaten.

  2. Anonymous users2024-02-05

    Hello! Bilirubin, a metabolite of red blood cells in the blood. A normal person produces 250 350 mg of bilirubin per day, most of which comes from senescent red blood cells in the blood, and the rest comes from the bone marrow and liver.

    If the production of bilirubin increases, or if the uptake, transport, binding, and excretion of bilirubin by the liver is abnormal, it will cause an increase in bilirubin.

    If there is no obvious abnormality in liver function, two and a half pairs, and hepatobiliary B ultrasound, it may be related to factors such as bile stasis, excessive drinking, staying up late, and lack of sleep.

    Elevated total bilirubin and indirect bilirubin fall under the category of hemolytic jaundice, which is mainly due to increased destruction of red blood cells. I don't know if I've recently taken certain hemolytic drugs or foods. Dynamic observation, drink more water appropriately, and rest more. 2 Repeat in 4 weeks.

  3. Anonymous users2024-02-04

    It's okay if you only have high bilirubin What you eat, such as blood products, may also be high, and liver fire will cause high bilirubin, it is more effective to find Chinese medicine, and Western medicine can only take high bilirubin There is no way, only let you recuperate.

  4. Anonymous users2024-02-03

    High bilirubin, that is, high jaundice, is an indicator of liver function, often high bilirubin at the same time, aminotransferases will also be high, there are many factors that lead to high jaundice.

    1. Caused by chronic liver disease. If this is the case, it is best to do another test for hepatitis A, B, and C.

    3. Congenital and anemia. If that's the case, it should have happened from time to time when you were a child. It won't happen now. It's a good idea to have a routine blood test.

    4. Drug-induced liver damage. If this is the case, please go to the hospital for a check-up or ** in time, and it should not be delayed for too long.

    People with jaundice should consume coix seeds, red adzuki beans, white lentils, strawberries, purslane, goldenrod, marantou, chrysanthemum brain, barley malt, fresh green leafy vegetables and a variety of fresh fruits.

    Try to avoid staying up late and have a regular life that is good for the body.

Related questions