Gilbert’s Syndrome – Diagnosis and Treatment
Diagnosis
If someone shows signs like yellowing of the skin or eyes (jaundice) with no clear reason, doctors might check for Gilbert’s syndrome. They often use a blood test to look at bilirubin levels, especially unconjugated bilirubin.
Other blood tests, such as a complete blood count and liver function tests, help rule out liver diseases like hepatitis B, hemolysis, or other causes of hyperbilirubinemia.
Most of the time, if standard blood tests show high bilirubin and other tests are normal, doctors identify Gilbert’s syndrome. Sometimes, doctors use genetic tests, but they do not always need them.
Treatment
Most people with Gilbert syndrome do not need any medicine or specific treatment. Jaundice episodes usually go away on their own without complications.
In rare cases, doctors may use a sedative-class medication to help lower bilirubin levels, but this is uncommon and not part of standard treatment.
Healthcare providers may take extra care with certain prescription medications—such as chemotherapy agents that are affected by liver metabolism—because people with Gilbert syndrome can process drugs differently.
Self-Care
Good self care is important for managing Gilbert syndrome and feeling better day to day. Following a balanced diet and sticking to a regular eating schedule helps keep energy up and supports liver health.
Fasting, skipping meals, or extreme diets should be avoided, as they can raise bilirubin levels and cause fatigue or jaundice.
To help lower the chances of symptoms like abdominal pain and tiredness, avoid alcohol and stay hydrated. Managing stress through exercise, listening to music, or meditation can also make a difference.
| Self care Tips | Why It Matters |
|---|---|
| Eat regular meals | Keeps bilirubin stable |
| Avoid alcohol | Supports liver health |
| Manage stress | Can lower triggers |
Getting Ready for Your Doctor Visit
Being well-prepared helps make the most of a healthcare appointment. Make a list of questions about Gilbert syndrome and its diagnosis to discuss with your provider.
Consider asking about:
- Your current bilirubin levels and whether they are high
- If you need more blood tests
- If symptoms could be related to Gilbert syndrome
- Possible effects of current medications
- The risk of complications or liver issues
- Any increased risk for gallstones
- Ways to keep bilirubin levels low
- If jaundice can be harmful
- Chances of passing the condition to children
A table can help you organize these questions:
| Question | Purpose |
|---|---|
| Is my bilirubin level high? | Understanding lab results |
| Should I re-test bilirubin? | Monitoring changes |
| Can meds worsen this? | Medication safety |
| Any risk for gallstones? | Future health concerns |
Write these questions down to help remember what to ask and keep track of the doctor’s answers.
