Gilberts

Gilbert syndrome guidelines

Gilbert syndrome guidelines

People with Gilbert's syndrome should be advised that:

  1. Why is Gilbert's syndrome more common in males?
  2. What foods should you avoid with Gilbert's syndrome?
  3. How long does Gilbert syndrome last?
  4. Should you fast if you have Gilbert's syndrome?

Why is Gilbert's syndrome more common in males?

During adolescence, there is a change in the sex steroid concentration which affects the bilirubin metabolism which leads to increased bilirubin levels. Hence, most patients with Gilbert syndrome present during puberty. It is also more commonly seen in males due to a higher level of daily production of bilirubin.

What foods should you avoid with Gilbert's syndrome?

Patients are advised to eat a well balanced and healthy diet, drink plenty of clear fluids like water and fruit juice, avoid fatty or sugary foods or foods that they cannot tolerate. Some patients may also require vitamins and supplements. Alcohol should be avoided.

How long does Gilbert syndrome last?

Gilbert's syndrome can lead to occasional episodes of noticeable jaundice, but most people have no symptoms and the blood abnormalities are only noticed in blood tests. Red blood cells don't live very long; 120 days on average.

Should you fast if you have Gilbert's syndrome?

Fasting in the hospital setting is a common occurrence, in view of the number of tests which require the patient to take no food by mouth. Furthermore, glucose is the most commonly administered nutrient by vein in the hospital. Both situations will increase bilirubin in the blood of patients with Gilbert's syndrome.

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