A member asked:

Bilirubin 1.6, (id 1.3, d .25) other lft normal, reticulyte normal, , ultrasound normal . bilirubin fluctuates, do i need to keep testing bili?

A doctor has provided 1 answer
Dr. John Fung answered

Specializes in General Surgery

Probably Gilbert's: Gilbert’s syndrome is due to deficiency of an enzyme that helps to excrete bilirubin, so the indirect bilirubin is usually elevated, without increases in alkaline phosphatase. Patients with gilbert’s syndrome are prone to develop higher bili levels from time to time. The risk increases with fasting, dehydration, repeated and profuse vomiting, infections, exertion and stress and after a surgery.

Answered 1/1/2017

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