Medical Specialty >> Gastroenterology

Doctors Lounge - Gastroenterology Answers

Back to Gastroenterology Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge ( does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.

DISCLAIMER: The information provided on is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 10/15/2017.

Forum Name: Gastroenterology Topics

Question: High Bilirubin Enzyme Levels!!Please Help!

 Sebby718 - Thu Dec 23, 2004 2:52 am

I have a 4.0 mg/dl level of TOT Bilirubin and a 0.9 mg/dl of DIR (direct?) Bilirubin.
My doctor performed an ultra scan and ran hepatitis tests on my Liver,but she found nothing wrong! I am due back at her office for another appointment next week.Can someone please tell me if i should still worry?What are the causes of having such a high bilirubin level?And does that mean i have a 3.1 mg/dl of INDIRECT Bilirubin?
Please help!!!
 Dr. Tamer Fouad - Fri Dec 24, 2004 3:26 pm

User avatar Dear Sebby718,
An elevation of bilirubin levels of 4.0 is abnormal. Because your bilirubin is mainly indirect it is suggestive of hemolytic anemia. You should have a blood count performed and a reticulocyte count. Once hemolysis is established, the cause is determined using the clinical history, Coombs' test and red cell morphology on blood smear.

For a more thorough understanding please visit our anemia page.

Best regards,

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us