What lifestyle advice should I provide to patients diagnosed with Gilbert's Syndrome?

Lifestyle advice for patients diagnosed with Gilbert's syndrome:

• Reassure the patient that no treatment or regular monitoring is required as Gilbert's syndrome does not progress to chronic liver disease and episodes of jaundice are self-limiting and not infectious.
• Advise patients to inform all healthcare workers of their diagnosis to avoid unnecessary investigations and concern.
• Explain that episodes of jaundice may be triggered by physical and psychological stressors such as dieting or fasting, surgery, dehydration, alcohol consumption, infectious illness, heavy physical exertion, and lack of sleep.
• Advise patients to consume alcohol only within recommended limits to reduce the risk of jaundice episodes.
• Encourage patients to seek medical advice if jaundice episodes are more severe or persistent than usual, as this may indicate an alternative diagnosis.
• Provide information sources and support, such as the NHS website, British Liver Trust, and Children’s Liver Disease Foundation.
• Warn patients that certain medications, especially gemfibrozil and statins, should be used with caution due to increased risk of hyperbilirubinaemia and drug toxicity; concurrent use of gemfibrozil and statins is contraindicated.

These lifestyle recommendations help patients manage their condition and avoid triggers that may precipitate jaundice episodes.