Persistently elevated indirect bilirubin could be due to blood disorders or congenital liver disorders. Hemolysis (increased destruction of red blood cells) can increased indirect bilirubin. Congenital non-hemolytichyperbilirubineamia-Gilbert’s Syndrome and Rotor’s syndrome can cause increased indirect bilirubin. The cause for the raised levels needs to be determined. This is done with the help of blood tests, ultra sonogram and if need be, biopsy of liver will help to clinch the diagnosis.
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