Gilbert's Syndrome: A Guide for Patients

Understanding Your Benign Inherited Bilirubin Condition

Gastroenterology

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Last updated: Mar 24, 2025

Overview

Gilbert's syndrome is a common, inherited condition that affects how your liver processes bilirubin, a yellow substance produced when red blood cells break down.

Key Facts

  • Affects approximately 3-7% of the population
  • Usually discovered incidentally during routine blood tests
  • Generally harmless and requires no treatment
  • More common in males than females

Symptoms

Most people with Gilbert's syndrome experience:

  • Mild jaundice (yellowing of skin/eyes)
  • Fatigue
  • Weakness
  • Mild abdominal discomfort

Trigger Factors

Symptoms may worsen during:

  • Stress
  • Illness
  • Fasting
  • Dehydration
  • Physical exertion
  • Lack of sleep

Diagnosis

  • Blood tests showing elevated unconjugated bilirubin
  • Normal liver function tests
  • Genetic testing (rarely needed)

Management

Lifestyle Modifications

  • Maintain regular eating patterns
  • Stay well-hydrated
  • Get adequate sleep
  • Manage stress levels
  • Avoid excessive alcohol

Prognosis

  • Excellent long-term outlook
  • No impact on life expectancy
  • No serious complications

When to Seek Medical Advice

Consult your healthcare provider if:

  • Jaundice becomes severe
  • You experience persistent abdominal pain
  • Symptoms significantly affect daily life

Important Notes

  • Safe during pregnancy
  • No dietary restrictions required
  • May affect certain medication metabolisms

Living with Gilbert's Syndrome

Most people lead completely normal lives with no limitations on activities or lifestyle.

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