Please help! Raised bilirubin level in serum.

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Please help! Raised bilirubin level in serum.

Postby mochida » Tue Jun 26, 2007 6:37 pm

Dear Doctor,

I have undergone a routine check up blood test today. I am a 24/M with clear medical history. The Full blood picture including the WBC differentials results are normal. Renal function normal. However, there is raised total Bilirubin level - 26umol/L (reference range 7-19). ALP, ALT, AST, protein, Albumin globulin are all within normal range. I have no signs of jaunice and history of Hepatitis. Would you mind telling me what are the possible causes? My physician said sometimes the level fluatuates but I am really worried. Thanks for your kind help.

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Dr. Chan Lowe
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Postby Dr. Chan Lowe » Tue Jul 03, 2007 12:00 pm

Your level is not too elevated. There are several causes of increased bilirubin. Given that you have no other issues with the liver (all enzymes are normal, etc.) it seems less likely that you are experiencing liver failure causing your elevation.

If, for some reason such as a viral infection or medication reaction, you had some increased breakdown of red blood cells your bilirubin levels can go up transiently.

Another common cause of an elevated bilirubin level is a condition called Gilbert's disease. This is a condition where the liver does not process bilirubin properly, leading to slightly elevated bilirubin levels. It is a harmless disease.

I would recommend you have your level repeated. If it remains elevated, I would strongly suspect Gilbert's disease but would recommend that you see a GI specialist to get an expert opinion.

Best wishes.
Advice and opinions given are based on the information provided and must not be considered an official medical recommendation. The limitations of the internet prevent an appropriate evaluation. Always consult your doctor if there is concern.

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