Gilbert's disease (liver abnormality)


Description

An elevated bilirubin level in the blood that is caused by an abnormal metabolism of bilirubin by the liver. Bilirubin is a breakdown product of red blood cells. The disorder is inherited and one in five Caucasians has a mild form of the condition. The disorder causes an elevated blood level of a kind of bilirubin (unconjugated bilirubin). On occasion, the bilirubin is elevated enough that there is a slight yellow coloring of the skin. Gilbert's disease is otherwise not dangerous and very few other symptoms are experienced.

Symptoms

Usually none. Yellow skin, yellow coloring to the white part of the eyes (sclera), fatigue, abdominal pain.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be done. An elevated indirect bilirubin level in the blood confirms the diagnosis.

Tests:
Complete blood count (CBC)

Other Specific Tests: Indirect bilirubin

Specialists:
Gastroenterology, Internal Medicine, Pediatrics, Family Practice, Pediatric Gastroenterology

Treatment

No treatment is necessary.
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