Conversation: The conversation between human and AI assistant.
[|Human|] I have been having hives from an unknown allergy. Now on prednisone, hives have gone but Doc has found that total bilirubin is 2.37 and conjugated/direct bilirubin is 0.7mg. No other signs of jaundice, no change in stool color. 2 days prior to this allergy I had a rare wine. Around 8-10 ounces also wore nickel jewelry. Bilirubin levels are concerning to me. what to do?
[|AI|]  Hi.noted history of hives and elevated bilirubin levels.  Is your hives localized or generalized? Your hives may or may not be related to your alcohol intake (especially if it occurs right after Chat Doctor.  If it is generalized and associated with itchiness, this may be due to elevated bilirubin levels which means that there is an increase in deposit of bile salts in your skin, hence, the itchiness all over the body. In cases of elevated bilirubin levels, further investigation of the hepaticopancreaticobiliary tree are must be done for etiology. It may be infective or obstructive (secondary to stones or tumor lesions) in origin. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, liver function tests, ct-scan, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~