High bilirubin only!!!

Posted By Carmel on August 14, 1999 at 20:44:23
Dear Doctor,

I'm 33 years old men, heterosexual, married, no inject drug user, never had blood transfusion, never been multisex partner... I'm experiencing since more than 2 months, fatigue, nausea, joint and muscle pain, abdominal pain or disconfort (right side)... After getting the results of my blood tests (see below), my PCP was not able to figure out what's wrong with me.
April/4/99
ALT 22
ALK 72
GGT 24
total bilirubin 1.4 H (0.1-1.3)
urine analysis: microscopic hematuria, but evrything was normal with IVP and renal sono..

TSH 2.66
Cholesterol 201H
hemoglobin 16.0
juin /18/99 (from a different lab)
ALT 19
AST 16
ALK 95
total bilirubin 1.5H (0.1-1.2)
Direct bilirubin 0.5H (0.0-0.4)
Albumin 4.8  
I was also tested for:
HBVag: not detected
Anti-HCV:non reactive
HCV PCR (amplicor kit): not detected
ANA: negative
CRP <5 (within normal range)
Rheumatoid fator  <20 (within normal range)
ESR 1
TSH 2.66
Also, blood account, serum complement, serum protein electrophoresis, creatinine... all normal.
I was so convinced for a while that I had Hep C , which could be responsible for my symptoms and for the microscopic hematuria,  that I was almost sure that the results were false negative. So I asked my PCP to test my blood for cryoglobulin, but it also came back negative.
I don't know what to do and what to believe: my symptoms or the blood test results...  My PCP is running out of options...
Please help!!
Thanks.
















Follow Ups:


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