HealthDiseases and Conditions

Reduced bilirubin: causes and consequences

Bilirubin is the main bile pigment, formed from obsolete erythrocytes. There is such a substance in the blood serum, and from the body is excreted by the excretory system. Physicians are usually alarmed by the fact that it rises or falls, as this indicates serious pathologies that occur in the human body. Let's consider in more detail, why there can be a lowered bilirubin and what are the consequences of such an ailment.

Why bilirubin may decrease?

In very rare cases, bilirubin has low rates, so doctors can assume the presence of serious pathological processes in the body. Consider the most common diseases that lead to this.

Renal insufficiency

If bilirubin is lowered, what does it mean? This condition can occur due to chronic kidney failure. To exclude other pathologies, it is necessary to examine the kidneys and adrenal glands in order to reveal their condition. This is a very serious disease that requires constant attention from urologists, and the treatment of such ailment is long and complex. With the help of blood and urine analysis determine the presence or absence of this urological problem.

Acute form of leukemia and tuberculosis

What other causes of decreased bilirubin? Often, it begins to decline against the backdrop of such a formidable disease as acute leukemia, but tuberculosis intoxication is also possible. These ailments are very serious, and their diagnosis, carried out in a timely manner, can guarantee a favorable prognosis of the outcome of the disease.

Aplastic anemia

Sometimes a low bilirubin indicates a disease such as aplastic anemia. This is a very rare and complex pathology, which requires complex treatment.

If we talk about patients aged 60 years and older, then lowered bilirubin in the blood indicates a disease such as ischemic heart disease, which has a different intensity. The clinical course in elderly people of this cardiac pathology is often accompanied by a picture of a decreased pigment of bile.

How to prepare for the analysis?

As soon as the results of the biochemical blood test are obtained, which showed a decrease in bilirubin, doctors usually refer the patient to a repeated blood sampling procedure to rule out a mistake. In some cases, the cause of the pathological picture is in the wrong preparation for blood donation for analysis.

For example, the day before the procedure, you need to limit the consumption of nicotine and caffeine, as well as exclude alcohol. It is recommended to drink liquids as much as possible, preferably, it should be clean water.

If the patient takes antibiotics or other medications and the doctor sent him for a biochemical blood test, the patient must necessarily inform the doctor about it. Reduced bilirubin can be due to the fact that the drug, accumulating in large quantities, greatly changes the picture of blood.

If the patient has re-analyzed and the result remains the same, then he should agree to a complete examination of the body to determine the nature and location of the existing pathology.

Reduced bilirubin during pregnancy and in children

Even more recently, it was considered a normal condition if a pregnant woman had a lowered level of bilirubin in her blood. However, at present, such an indicator is considered pathological, which requires additional diagnosis and necessary medical intervention.

A lowered bilirubin index in a pregnant woman indicates ischemic heart disease. Even if she has never complained of heart problems, it is likely that pregnancy can provoke the development of various diseases.

The appearance of cardiac pathologies in a woman waiting for a child is explained by the fact that the organism during this period can not cope with the strain that has arisen. During pregnancy, the mother's heart pumps blood twice a day, providing the mother and the baby with nutrients.

In addition, a decrease in the concentration of bilirubin in the blood during pregnancy causes pathology and kidney disease. This is also explained by the increasing burden on the excretory system, which affects the normal functioning of the kidneys.

If a pregnant woman begins to change blood pressure, there are swelling that intensify toward evening, and everything else starts to drop in the blood level of bilirubin, this is the reason to suspect that liver pathologies have arisen.

It is very dangerous when bilirubin is lowered in a child. Although this phenomenon is not fully understood, but, according to many experts, this may be associated with a risk of vascular and cardiac disease. During the delivery of a blood test, you must listen to all the recommendations of the laboratory technician, otherwise the results will be not entirely reliable.

How to normalize the level of bilirubin?

If a person has lowered bilirubin, you can normalize it in the following ways:

  • It is necessary to pay attention to the mode of motor activity and the nature of nutrition, because bilirubin in the blood can be lowered due to stagnation of bile in the body. Thanks to rational and proper nutrition, as well as strengthening of motor activity, it is possible to solve the problem radically. This is especially true for pregnant women who need to eat right and move more.
  • If a person has bilirubin in the blood, then to normalize it, you should stop using alcohol. This is necessary in order to establish the exact cause of such a pathology and to conduct adequate treatment.

How to lower bilirubin?

This bile pigment can not only decrease, but also increase. How to lower bilirubin in this case? The result can only come if the effect of the cause of the disease. It is recommended to remove the tumor or stones that prevent the outflow of bile, as well as eliminate all the viruses that destroy erythrocytes and liver cells from the body.

In addition, the lowering of bilirubin in the blood can be as follows:

  • It is necessary to take drugs from the disease, because of which this substance has increased. Most often, such diseases are hepatitis or hemolytic anemia.
  • It is necessary to take medications and dietary supplements that contribute to the normal functioning of the liver - Essentiale, Gepatrin, Phenobarbital and various hepatoprotectors.
  • Use cholagogue means, which help to strengthen the production of bile and promote its removal from the body.
  • A proper diet is needed.
  • It is necessary to completely abandon alcoholic beverages.

Conclusion

At present, the problems leading to a decrease in bilirubin in the blood are not fully understood. Therefore, you should follow all the doctor's recommendations for the diagnosis of the whole body. To the level of bilirubin always remained within the limits of the norm, it is necessary to undergo competent treatment, due to which the bile begins to be excreted normally from the body.

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