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Hgih Bilirubin Level

I recently had a blood test which showed my bilirubin to be 1.9 mg/dL. other parameters as follows: ALK phosphate 58, AST 23, ALT 23, A/G ratio 1.4, Albumin 4.0 g/dL, Total Serum Protein 6.8 g/dL, Total Globulin 2.8 g/dL. CBC all normal, urine: Urobilinogen normal, Nitrate negative, Bilirubin negative. eveything negative.

im a 35 year old male. run evey other day, lift wieghts. drink on weekends, approx 7 beers a night. Take avapro and low dose aspirin for high blood pressure every day. two weeks prior to this last blood test i was drinking quite heavily becasue i have been very stressed out over family matters.

Over the last 5 blood tests (all fasting) , the total bilirubin was as follows: 1.6, 1.49, 1.46, 1.25 1.9. this over 3 years time. all other parameters were normal.

My doctor didnt mention this 1.9 value to me. He sent me a letter saying everything was ok. i requested the detailed test results and now im stressed out about it. Having trouble sleeping. My thought is to let it go since he wasnt worried about it and if he wasnt worried about it there must be more people out there he let 'pass' with the same type of test results before. Can you calm my fears? I cant handle any other stress in my life. on a smiliar issue in the past, i was told to live my life and not to live it by test results. doctor actually yelled at me.


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233190 tn?1278553401
I would first suggest an ultrasound to ensure there isn't any biliary obstruction.  

If negative, the most common cause for something like this would be Gilbert's syndrome.  This is a hereditary overproduction of bilirubin.  This is suspected since the rest of the liver enzymes are also negative.  This is completely benign and there is generally no treatment for this.

You may want to discuss this possibility with your personal physician (or consider changing physicians if yours keeps yelling at you).  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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