D.Bil ( Direct Bilirubin ) how is it related to Hep B?

[ChuChu21]

Hello,

My husband was recently diagnosed with Hep. B at cornic stage and is temperally being treated in a Taiwan.
He is currently taking Entecavir and his level of GPT (1683 > 1551) and GOT  (670 > 472) has decreased .  
However, D.Bil has increased from 2.3 to 2.4  ??   Is this normal?

ChuChu21

[cajim]

I don't know enough to comment.  Sorry.

[ChuChu21]

Thank you for the links.  

One thing I need to clearify:   It is not D. Bil , his # is T. Bil

So, total bilirubin is 2.4   <<<< is this high?

Why did his T.Bil rise from 2.3 to 2.4 after taking the medication?

[zellyf]

Try this link:

http://www.nlm.nih.gov/medlineplus/ency/
article/003479.htm

Best wishes.

[cajim]

Hope this helps:

Direct Bilirubin

# Normal:  <0.2 mg/dl

# Increased Conjugated Bilirubin: Adults

   1. Intrahepatic Causes
         1. Hepatocellular disease
               1. Viral Hepatitis
               2. Alcoholic Liver Disease
         2. Biliary Tract Obstruction
         3. Drug induced cholestasis
         4. Prolonged Total Parenteral Nutrition
         5. Sarcoidosis
         6. Pregnancy
         7. Primary Biliary Cirrhosis
         8. Primary Sclerosing Cholangitis
   2. Extrahepatic Causes
         1. Cholelithiasis
         2. Pancreatitis
         3. Cryptosporidium infection (immunocompromised patient)
         4. Cytomegalovirus infection
         5. Cholangiocarcinoma
         6. Cancer involving liver
         7. Pancreatic Cancer
         8. Lymphoma

From:  http://www.fpnotebook.com/GI127.htm