instruction: hello doctor I have jaundice my biliurubin was 5 three weeks ago I went to the doctor for jaundice weekly blood tests as of three weeks show bilirubin has been increasing hep test shows I do not have hepatitis ultrasound says no tumor bile duct coverage or stones I took a it scan and the results show there is no obstruction and pancreas is normal in other words my body parts are normal in two weeks I will see a gastroenterologist what do you think I have I will probably have more blood tests this monday to check bilirubin levels I am currently on hydroxyzine hcl
output: hello well your us ultrasound and it computed tomography scan are normal which is kind of satisfying to me of course you suppose to have more blood tests to confirm the origin of this jaundice hepatitis although common but they are not the only one to cause liver problem there are many other causes such as nonhepatotrophic virus infections as herpes virus epstein bar virus cytomegalovirus non viral causes are wilson hemochromatosis alpha trypsin deficiency the causes of predominantly raised bilirubin jaundice with normal it scan suggest microscopic primary sclerosing cholangitis primary biliary cholangitis benign and progressive familial intrahepatic cholestasis the hematologist will start from blood tests first and at times can be recommended liver biopsy if the blood test does not serve the purpose it is possible that you have one of the above or not any of the above the reason is it is always important to have a clinical history then targeted blood tests and examinations before a hematologist is able to give you one word specific diagnosis deranged liver function tests deranged liver function tests after establishing a diagnosis follow up if want to provide more information and discuss the right approach to each and everyone of above disorders