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.
Genetics 101: the cause of Gilbertâs syndrome. Gilbertâs syndrome is caused by mildly elevated levels of a liver enzyme essential to the disposal of bilirubin. A natural pigment, bilirubin is the resulting chemical from the bodyâs normal breakdown of hemoglobin from red blood cells.