Conversation: The conversation between human and AI assistant.
[|Human|] my daughter is 20 years old and has just completed a yearly physical which included a pap test and blood work.  her doctors office called and informed her that her pap test was fine but concerning the blood work...her white cell count was slightly elevated and her bilirubin was slightly elevated with results being 1.7.  she is a stressed out college student and this info. is worrying her greatly!  the dr. prescribed a z pack and said she would recheck her bilirubin in a couple of weeks.  could the increase in bilirubin be due to taking birth control pills -loestrin- and would the slightly elevated white count and bilirubin be related?  thanks
[|AI|]  Hello, thank you for the questionBrief...it could be side effect of oral contraceptive pillsDetailed answer...since birth control pills can cause jaundice (increased bilirubin level), liver disease, gall bladder disease, thromboembolic disease. It could be because of liver infection to any kind of hepatitis (hepatitis A (water-borne)or help. B or help. C (secular transmitted or blood-borne).and so elevated white cells and bilirubin may be related. My opinion would be got some blood tests to check antibodies and antigens of hepatitis and stop having birth control pills for a while to rule out the cause after discussing with your doctor.  Chat Doctor.