'In patients with chronic hepatitis C, bilirubin levels tend to go up and down. A consistent rise in bilirubin over time for a patient with chronic hepatitis C usually indicates severe liver dysfunction and possibly cirrhosis, or scarring of the liver.'
This is when a person has decompensated cirrhosis and is in need of a liver transplant to continue living. Not in the typical patient with lesser liver disease such as those with stage 0-3.
'The two most common forms of autoimmune liver disease are autoimmune chronic hepatitis and primary biliary cirrhosis. Ninety percent of those with each disorder are women. Autoimmune chronic hepatitis is characterized by very high serum aminotransferase (ALT and AST) levels, whereas primary biliary cirrhosis is associated with predominant elevations of the alkaline phosphatase level, a cholestatic disorder'.
'Alk. Phosphatase, Ast, and Alt are abnormal since October'
This usually means a person is having injury to their liver caused by anything. It could be autoimmune liver disease, hep B, hep C or a dozen other causes of liver disease.
The numbers tell if liver or biliary track/cholestatic liver disease.