Best Answer: NH4 is not a stable chemical on its own. It is a cation and it is written as NH4+ and needs a negatively-charged counter ion. The ion is called Ammonium. Ammonia is NH3 Ammonium hydroxide is NH4OH but dissociates in water as NH4+ and OH-Ammonium bromide is NH4Br.
Signs and symptoms. Jaundice. Gilbert's syndrome produces an elevated level of unconjugated bilirubin in the bloodstream, but normally has no serious consequences. Mild jaundice may appear under conditions of exertion, stress, fasting, and infections, but the condition is otherwise usually asymptomatic.
People with Gilbert syndrome are otherwise entirely normal with no other signs or symptoms. Their liver enzyme levels in blood serum are also entirely normal. Gilbert syndrome is most commonly diagnosed after puberty, when alterations in sex hormone levels cause the blood bilirubin levels to rise.eople with Gilbert syndrome are otherwise entirely normal with no other signs or symptoms. Their liver enzyme levels in blood serum are also entirely normal. Gilbert syndrome is most commonly diagnosed after puberty, when alterations in sex hormone levels cause the blood bilirubin levels to rise.