Tag: French Gastroenterologist

What You need To Know About Gilbert’s Disease

There are quite a number in the American population that had been affected since their time of birth by this condition, Gilberts disease affects about two to five percent of the population in the United States alone. To better understand what it is and how it affects the people ridden with the condition, here are some of the frequently asked questions about Gilberts disease.

1. What is Gilberts disease? Gilberts disease is known to be one of the causes of mild jaundice once in a while. It is typically not dangerous and has no need for treatment. It is due to a condensed amount of a compounds in the liver, which processes a breakdown result of blood cells called bilirubin. Gilberts disease is a condition wherein the liver has a problem in breaking down the bilirubin completely.

2. Where did the name Gilberts disease came from? In 1901, a French gastroenterologist named Augustin Nicolas Gilbert and his co-workers described the differences in the symptoms of Gilberts disease and the other liver diseases. He also provided additional information on how to acquire it and its further transmission.

3. What is bilirubin and what happens to a person with Gilberts disease? Bilirubin is continuously made inside our bodies, it is a form of end product. It is the waste product of hemoglobin. Hemoglobin is a compound that is found in every persons red blood cells and it is responsible for carrying oxygen to the other cells in the body. Many of the red blood cells that we have and the hemoglobin break down each day and as a result bilirubin needs constant disposal. Bilirubin get carried to the bloodstream and into the liver where it is taken in by liver cells. The liver breaks down the bilirubin further into the gut and to bile. An enzyme or a chemical compound that can be found in liver cells called urodine diphosphate glucuronosyltransferase (UGT) aides the liver cells to break down the bilirubin. People with Gilberts syndrome have a reduced level of UGT and so bilirubin can build up in the bloodstream. High levels of bilirubin in the blood causes jaundice.

4. Who gets Gilberts disease? Gilberts syndrome is a very common hereditary condition that means there is no way to prevent or to treat the condition was it has been passed on to the next generation. About 1 in 20 people have this syndrome – but most will not be aware of it. It is more common in men than women. It is often first diagnosed in the late teens or early twenties.

5. What are the symptoms of Gilberts disease? More often than not, none. Unfortunately, the specific symptoms related to Gilberts disease is not as easy to spot and monitor like in other diseases. Gilberts disease can be very dormant in terms of symptoms that it can manifest in a person for several years with them knowing it.

6. How different is it from jaundice? Jaundice is caused by the excessive levels of bilirubin in the body, more specifically the blood. Because people with Gilberts disease have fluctuating levels of UGT or urodine diphosphate glucuronosyltransferase, the build up and the manifestation of Jaundice cant really be used to gauge the severity of a person with Gilberts diseases condition. Aside from the discomfort and stomach pains most of the other signs of having Gilberts disease can be associated with other conditions.

The Anatomy Of Gilbert’s Disease

People have long asked about how exactly does Gilberts disease affect us in our daily lives? Well these questions have also concerned doctors and medical experts for the longest time. This because of the peculiarity of the condition itself, Gilberts disease is hereditary in nature yet unlike other hereditary diseases it does not have any major effects on the body. To further understand the structure and the inner workings of the condition here are some of the facts revolving around it so you will be better informed.

Gilberts Syndrome

Gilbert syndrome is frequently an autonomic recessive disorder and is a familiar origin of unconjugated hyperbilirubinaemia. There has been some information of heterozygous cases, mostly in Asian populations. Gilberts disease was named after the French gastroenterologist Augustin Nicolas Gilbert in 1901. The presence of Gilberts disease in a global scale is three to eight percent depending on the area of the diagnostic criteria was used:

1. Genetics. The reason for the body contacting high bilirubin levels is because of the fluctuating levels of UGT or urodine diphosphate glucuronosyltransferase in the liver and the blood stream. UGT is an enzyme that aids the liver in breaking down bilirubin. Bilirubin is the waste product of the hemoglobin in the blood. Hemoglobin is used to carry oxygen in our bloodstream.

– Hepatic glucuronidation (essential for conjugating bilirubin) is concentrated to minimal levels to around 30 percent of standard; and – In addition to their reduced Bilirubin-UGT enzyme activity, most patients with Gilberts syndrome may have irregularities in the glucuronidation of aspirin or derivatives of coumarin and dopamine.

2. Presentation. It can stay overlooked for many years, but more often than not makes its manifestation in adolescence with:

– Irregular jaundice noticed after fasting, being short of of sleep, hearty exercise or during an intercurrent sickness. – Contacting certain medications may aid in the manifestation of jaundice e.g. chemotherapy. Unfavorable effects of anticancer agents have been observed in Gilberts patients owing to reduced drug or bilirubin glucuronidation.

There is hope

Despite other distinctive results related to Gilberts disease include jaundice, nausea, exhaustion, instability, bowel complaints, queasiness and vomiting, and difficulty concentrating. Investigations associated with the condition include: full blood count proves usual reticulocyte count – to differentiate from haemolysis; a climb in bilirubin on fasting or after IV nicotinic acid can corroborate the conclusion; additional liver function tests (as well as lactate dehydrogenase) and liver biopsy are regular, but the latter should hardly ever be required clinically; and absence of bilirubin and abnormally low amounts of urobilinogen in the urine.

The good news for people with Gilberts disease is that they really dont have much to worry about since the damage done by Gilberts disease is almost non threatening. No healing is required and life expectation is normal. Bear in mind also that not all the people who are affected by Gilberts disease show signs and symptoms at all. Although asymptomatic Gilberts disease all the way through ones life is very exceptional, there can positively be periods of time a patient has no external signs of the disease.

Absolutely no treatment is required for the condition. Patients with Gilberts disease can normally lead healthy lives. Their life expectancy is not really affected. Mild jaundice may recur from time to time for short periods, but usually causes no health problems.