<human>: With jaundice and elevated bilirubin levels, but good energy levels, can a patient exercise vigorously periodically - or is rest and some walking recommended until symptoms subside. I ask only because it will be 4 months until a liver specialist is available and there is some muscle degeneration in the patient.
<bot>: Hi & Welcome. I appreciate your concern for the safety of doing vigorous exercise while suffering from liver disease. Incomplete data: Age, gender, diagnosis of the liver disease, any treatment prescribed, etc. ? Well it is not advisable for a patient with liver disease (raised bilirubin level). Such a patient needs bed rest and should follow the dietary restrictions and the treatment prescribed. Vigorous exercise may induce stress and release of muscle enzymes which may aggravate his or her liver disease and a complicated coma may develop due excess production of ammonia which is harmful to patients with liver disease. Hope to have answered your query.