Conversation: The conversation between human and AI assistant.
[|Human|] i have undergone liver transplant six month before. i am taking tacrolimus 6 mg per day. myspleen is enlarged moderately. liver tests show biliriben total 1.67 . color of urine is pale for many months and color of stool is dark brown but other values are normal. feet ,eye burning and legs pain is faced. kindly tell me any remedy to reduce billiriben level and size of spleen.
[|AI|]  Since you have undergone a liver transplant, the high bilirubin levels, and the enlarged spleen is in all probability due to deranged liver function or an infection. While the spleen could be enlarged due to portal hypertension, depending on the size, we would need to do give you propranolol (a beta locker useful for portal hypertension), diuretics (if there is ascites). The bilirubin level can only be improved once the liver function improves. If these features are due to an infection, we would need to give you appropriate antibiotic therapy As of now, you should be seeing your transplant surgeon to get a liver function test, a complete blood count and an ultrasound of the abdomen done. Meanwhile, abstain from alcohol, have a low fat, high protein diet and practice some stress reduction exercises. Hope that helpsRegards