Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have high bilirubin , all other levels are fine. No history of Gilberts Syndrome in my family. I have had headaches everyday for the past couple weeks. I noticed my eyes turning yellow about 3 months ago. I do have hashimoto s disease/ underactive thyroid . Some discomfort (not a lot) under my sternum, and feels like pressure against my diaphram, where i have to take deep breaths at times when breathing . On my lab results, everything else but my bilirubin was normal, accept I noticed that ABS. Neutrophils went from 9.5 to 2.8 in a couple months, and my % neutrophils went down as well. My % Lymphosites went from 16.6 to 42.
[|AI|]  Hello and become to ChatDoctorThe high levels of bilirubin and yellowish discoloration of eyes suggests jaundice. However, the type of bilirubin which is raised whether direct or indirect is important to know the cause of rise in bilirubin. Direct bilirubin (Normal levels: 1. Obstruction to the biliary tract by a stone, growth in the biliary tree or outside the biliary tree, growth in the head of pancreas2. Injury to the hepatocytes Indirect bilirubin (Normal levels: 0.3-1.0 mg) is raised in:1. Injury to hepatocytes2. Hemolytic anemia Along with blood bilirubin, urine bilirubin also needs to be done. Presence of bilirubin in urine indicates rise in direct bilirubin. For hypothyroidism, hormone replacement needs to be taken in the form of Elton or any other preparation. Your blood parameters suggest an increase in lymphocytes and decrease in neutrophils. This indicates a chronic infection. Get an ESR done and complete check up to rule out any chronic disease. Thanks and take care Chat Doctor.