Alcoholic liver disease (ALD) is a condition caused by long-term alcohol abuse that leads to the accumulation of fat in the liver. This accumulation of fat can eventually lead to cirrhosis, which is a serious and potentially life-threatening condition. One of the symptoms of ALD is an elevated level of bilirubin in the blood. Bilirubin is a yellowish pigment that is formed when red blood cells are broken down.
What is Bilirubin?
Bilirubin is a yellowish pigment that is produced when the body breaks down red blood cells. It is then secreted into the bile and passes through the digestive system until it is excreted in the stool. Bilirubin levels in the blood can be measured with a blood test and are usually measured in micromoles per liter (µmol/L). A normal bilirubin level is 0.3 to 1.9 µmol/L.
What Causes High Bilirubin Levels?
High bilirubin levels can be caused by a variety of factors, including liver disease, certain medications, and congenital conditions. In the case of ALD, high bilirubin levels are caused by the accumulation of fat in the liver, which impairs its ability to properly process bilirubin. The elevated bilirubin levels can lead to further complications, such as jaundice (a yellowing of the skin and eyes).
How is High Bilirubin Treated in ALD?
The goal in treating high bilirubin levels in ALD is to reduce the amount of fat in the liver. This can be done through lifestyle changes, such as reducing or eliminating alcohol consumption, eating a healthy diet, and exercising regularly. Medications may also be prescribed to help reduce fat accumulation. In some cases, a liver transplant may be necessary to treat ALD and the associated high bilirubin levels.