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.
Gilbertâs syndrome is caused by decreased hepatic levels of the enzyme glucuronosyltransferase. As this enzyme is responsible for the glucuronidation (conjugation) of bilirubin in the liver, reduced activity of this enzyme leads to an accumulation of unconjugated bilirubin in the circulation.