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Gastroenterology (Expert Forum)
high total bilirubin
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.
high total bilirubin
by joejoe1119, Feb 18, 2007 12:00AM
I am 23 yrs old male, I have an unknown med. condition, all they know that I have low bone mass of the hips and spine, osteopenia.
I have a question about my labs, I only included the liver fuctions,this was from the
1st of June
AST 29 (15-46)
ALT 60 (11-66)
TBILI 2.03 (0.2-1.3) H
next lab jul 28
AST 37 (12-34) H
ALT 68 (25-65) H
TBILI 2.2 (0.1-1.0) H
Nov 14 I dont know what the scale was for this one
AST 45 H
ALT 41
TBILI 2.4 H
These were Comprehensive Metabolic Panels , so I fasted for all of these will fasting increase the levels.
I had this test done also - 24 HR Calcium 441.7 (H) scale 42-353 MG/24HR
Do you know what possible could be wrong with me and also should this be addressed nowor pushed for another 6 months. I am currently deployed to Iraq also.
Thank you for your time.
I have a question about my labs, I only included the liver fuctions,this was from the
1st of June
AST 29 (15-46)
ALT 60 (11-66)
TBILI 2.03 (0.2-1.3) H
next lab jul 28
AST 37 (12-34) H
ALT 68 (25-65) H
TBILI 2.2 (0.1-1.0) H
Nov 14 I dont know what the scale was for this one
AST 45 H
ALT 41
TBILI 2.4 H
These were Comprehensive Metabolic Panels , so I fasted for all of these will fasting increase the levels.
I had this test done also - 24 HR Calcium 441.7 (H) scale 42-353 MG/24HR
Do you know what possible could be wrong with me and also should this be addressed nowor pushed for another 6 months. I am currently deployed to Iraq also.
Thank you for your time.
Doctor's Answer
by Kevin Pho, MD, Feb 18, 2007 12:00AM
, Feb 18, 2007 12:00AM
A variety of liver and gallbladder diseases can raise the bilirubin level. The best initial test would be an ultrasound, as well as blood tests looking at for hepatitis.
If negative, serially monitoring the enzymes should be done to ensure they are not rising.
If the tests remain negative, benign hereditary diseases like Gilbert's syndrome can be considered. If this is the case, normally no further treatment is needed.
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.
kevinmd_
If negative, serially monitoring the enzymes should be done to ensure they are not rising.
If the tests remain negative, benign hereditary diseases like Gilbert's syndrome can be considered. If this is the case, normally no further treatment is needed.
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.
kevinmd_
Member Comments
by tummyyuck, Mar 29, 2007 12:00AM
I too had a very high bilirubin (6.8). I have been experiancing some stomach problem and have now been told I have IBS. My liver enzymes were normal and I had an ultrasound but that was all normal. Nothing ever came up it but I can say that I havent been myself for about 3 months.
