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Gastroenterology (Expert Forum)
Elevated Direct Bilirubin Now
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Elevated Direct Bilirubin Now
by WorriedSick1981, Nov 14, 2005 12:00AM
Doc,
It is me once again. After a week of lowering my 6mp dose here are my new numbers.
ALT- 57 (Normal)
AST- 17 (Normal)
AP- 41 (Normal)
Total Bili- 2.99 (High)
Direct Bili - .47 (High)
Indirect Bili- 2.52(High)
My ALT is now back to where it used to be however my direct bili is now up from .18. Last test my indirect bili was over 5.
Is my direct Bili high due to the liver conjugating the the indirect bili to direct. To me it looks as if everything is trying to even out. Just to point out again I also have Gilbert's Syndorme. Ultrasound last year was normal.
It is me once again. After a week of lowering my 6mp dose here are my new numbers.
ALT- 57 (Normal)
AST- 17 (Normal)
AP- 41 (Normal)
Total Bili- 2.99 (High)
Direct Bili - .47 (High)
Indirect Bili- 2.52(High)
My ALT is now back to where it used to be however my direct bili is now up from .18. Last test my indirect bili was over 5.
Is my direct Bili high due to the liver conjugating the the indirect bili to direct. To me it looks as if everything is trying to even out. Just to point out again I also have Gilbert's Syndorme. Ultrasound last year was normal.
Doctor's Answer
by Kevin Pho, MD, Nov 15, 2005 12:00AM
, Nov 15, 2005 12:00AM
A variety of liver diseases can be associated with an elevation of direct bilirubin. This can include biliary obstruction, hepatitis, steatohepatitis, medications, or viruses - all to name a few.
You can consider further testing with a liver ultrasound to rule out most of these diseases. If there is evidence of disease in the bile ducts, you can consider an MRCP to further evaluate this.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
You can consider further testing with a liver ultrasound to rule out most of these diseases. If there is evidence of disease in the bile ducts, you can consider an MRCP to further evaluate this.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
