A member asked:

My bilirubin level is 2.1 and other leaver test is normal also the ultrasound is normal. so why bilirubin is at 2.1?

4 doctors weighed in across 2 answers

Gilbert's?: If it is the unconjugated fraction and it goes up some if you miss a few meals, you have Gilbert's or are hemolyzing.

Answered 10/12/2016

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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 6/4/2017

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