My dad is a ckd stage 5 patient. he is on hd thrice a week. his recent tests show high bilirubin of 237 but enzymes r lower . what does this mean?

Needs evaluation: Bilirubin is not affected directly by kidney failure or dialysis. Various types of medication can cause elevation or a variety of liver and biliary tract (bile ducts) problems can cause elevation. A level of 237 ( micro moles/liter not mg/dl) is high (normal is 2-17). Have him discuss with primary MD and kidney doctor further evaluation and possibly seeing a liver specialist.