Aa
A
A
Close
Avatar universal
high bilirubin
Just got results back from a fasting blood test. It says my total bilirubin is 2.5 (normal range given is .2-1.2 mg/dL). My platelets were slightly low and my RDW very slightly high. My AST and ALT were well within normal range. I don't go back to my Dr. for another month and a half and am wondering if there could be something really wrong with me. Everything else on the lab wrok came back normal. Any ideas?


JNB
Cancel
4 Answers
Page 1 of 1
Avatar universal
Forgot  to include I never drink.....haven't had even a glass of wine in years.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
I would ask your doctor if he thinks a fractionalized bilirubin test would be appropriate.
Total bilirubin is the sum of 1) direct or conjugated bilirubin and 2) indirect or unconjugated bilirubin.
If your Total Bilirubin elevation is due to an increased direct bilirubin that would suggest a possible liver or biliary tract issue. It could also be due to a gallstone blocking a bile duct. Hemolytic anemia can also cause an increased bilirubin. Red blood cells are destroyed and release bilirubin into the blood. If this were the case I would expect to see a low hemoglobin also.
On the other hand if your elevated T Bilirubin was due to an elevation of your indirect bilirubin it would not suggest a liver problem. Elevated indirect bilirubin may be due to Gilbert's Syndrome which most doctors believe to be a benign disease due to an decreased activity of an enzyme and I really don't understand the chemistry of the disorder. As I said most people believe it is harmless.
You might simply repeat the test and see if your bilirubin is still elevated. If so I think determining whether your "direct/conjugated bilirubin" or your "indirect/unconjugated bilirubin" would be a reasonable starting point unless there are other symptoms or blood results which make a diagnosis clearer.
Personally I would not wait a month or a month and 1 half to see your doctor. Your total bilirubin is significantly elevated and I think finding out what is going on sooner is always better than later. I would push for a follow up and preferably with an experienced GI or better yet a Hepatologist. It might be Gilbert's or might be a false result but you cannot know without follow up tests. You didn't mention your platelet count but in cirrhosis there is often a decreased platelet count.
I hope I haven't alarmed you and I should make it clear that I am not a doctor or in the medical field in any capacity. I am a layman who has dealt with liver disease and I learned a little in the process. You should not rely on anything I said except to talk with your doctor and get seen sooner rather than later.
\Good luck,
Mike
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
In case I wasn't clear a "fractionalized bilirubin test" breaks Total Bilirubin down and gives a separate value for Direct and Indirect bilirubin which added together equals Total Bilirubin.
Sorry if it wasn't clear.
Mike
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
Hello.
How is your condition now. Are you better or what did you do about high bilirubine
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Recent Activity
406584 tn?1399591666
Blank
Dee1956, and 10356 commented on 10356's status
7 hrs ago
406584 tn?1399591666
Blank
10356 went to my appointment I wi... Comment
23 hrs ago
317787 tn?1468754865
Blank
Dee1956 commented on THIS NEW FORUM STINKS...
Jul 22
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Digestive Answerers
Liver Disorders Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Digestive Answerers