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Gastroenterology (Expert Forum)
Elevate total bilirubim
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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.
Elevate total bilirubim
by Lou143, May 02, 2008 12:04PM
I just had bllod work done at a health fair. Everything was normal. AST,ALT Alubumin,glogulin, Alk Phos., iron,etc all normal. the exception was total bilirubin which as 2.3, normal 02-1.2 and dircect bilirubin .4 normal is 0.0-.2. why is that? if all the other liver enzymes are fine should I be concerned?
Doctor's Answer
by Kevin Pho, MD, May 02, 2008 12:12PM
, May 02, 2008 12:12PM
Further evaluation can be done to ensure there isn't any biliary obstruction.
An ultrasound can be done to image the liver and gallbladder. If there is suspicion about the biliary tree, you can consider an MRCP.
If the tests remain negative, there are benign causes of an isolated bilirubin level. Gilbert's disease would be one cause.
These questions should be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
An ultrasound can be done to image the liver and gallbladder. If there is suspicion about the biliary tree, you can consider an MRCP.
If the tests remain negative, there are benign causes of an isolated bilirubin level. Gilbert's disease would be one cause.
These questions should be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Member Comments (2)
by mikcin, May 14, 2008 06:03AM
To: lou143
Maybe you should try to ask for a refferal with a good gastroenterologist. I would not let this go. Make sure you make a list of questions you want to ask before you go. Because most gastros are very busy and if you don't ask questions you will never know.
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