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How to increase albumin level and decrease bilirubin level?

Dr Sanjiv Saigal
Consultant Gastroenterologist,
Sir Ganga Ram Hospital,
New Delhi

Q: I am a 63 years old male suffering from cirrhosis of liver. How to increase albumin levels and decrease bilirubin levels? Also let me know a cure for ascites.

A:I note from your case details that you are suffering from cirrhosis of liver. Ascites, low albumin and increased bilirubin reflect decompensation of cirrhosis. This is managed with a comprehensive medical treatment along with dietary plan.

The medicines are given to reduce portal hypertension (such as Propranolol), reduce ascites (such as Aldactone & Lasix), antibiotics (to prevent and treat infection) and multivitamins (to correct dietary deficiency). A low salt, high protein diet with fluid restriction is advisable.

You need to be under the care of a hepatologist, who can give you the proper guidance. If medical measures fail, then liver transplantation is the definitive treatment opinion.