Hi JJ1982,

I am so sorry to hear about your diagnosis and the delays you've had for breast surgery and chemo. I am not a doctor, but I have had 2 bouts of breast cancer in the past 12 years. I did have trouble with my liver when I was receiving treatment and discovered that 11% of my liver had fibrosed. I still get this checked from time to time and am pleased to say that it doesn't seem to have got any worse in this time.

I sincerely hope that you can start your chemo next week. Do you know how raised your bilirubin levels were? Perhaps it might be worth having a chat with your breast care nurse?  Write down any questions you have before you speak to her.

Please let us know how you get on. We are always here for you.

Kind regards,

Jolamine xx

Thanks for replying. The nurse said '31' and they should be '25 or below' for me to have the intense EC treatment I am due to have. She didn't seem concerned and said these things can sometimes fluctuate but it is really hard not to worry. 

Hi JJ1982,

Certain medications can cause Bilirubin levels to raise. The advice I was given was to try to reduce my levels by eating plenty of fresh fruit & vegetables, fibre, keeping well hydrated and avoiding alcohol.. I don't know whether or not this will make any difference in just a week, but there's no harm in trying.

Kind regards,

Jolamine xx

Thank you. As my Ct scan and other liver function were normal I think the bilirubin level might be a genetic syndrome which is often only found through routine blood tests. It's not a problem other than meaning my bilirubin levels fluctuate which will be a pain for chemo. I've seen that episodes of high stress trigger it, and that as you diet and lifestyle can improve it. I haven't had any alcohol for weeks but I have been off my food due to the stress of it all.