Doctor insights on:
Bile Acids Fractionated And Total
Heart: Your question should not be an open ended question. It is difficult answer in this limited space. I write a book basing on your question. Answer is too broad. Please come to the point. What is your main health problem? I would try to help you. ...Read more
What is the normal non-fasted range of bile acids ? How much does your bile acids rise after a meal?
Bilirubin levels are total 2.0 total 1.76 and direct 0.27... Have fatty liver bad gallbladder? Protein 8.4
What's the question?: You have some form of likely liver disease and need further evaluation. These labs are of very little value without a full detailed assessment of the entire clinical picture, which may also require a hepatic biopsy. Need serologic testing for all forms of hepatitis, and so on. What are you asking? ...Read more
TUDCA: Tauroursodeoxycholic acid is an ambiphilic bile acid, the taurine conjugate of ursodeoxycholic acid . Humans have trace amounts of tudca. Bears contain large amounts of tudca in their bile; tudca has been used in ancient asian pharmacopoeias for its supposed beneficial effects. Udca is produced in several countries for the treatment of gallstones and liver cirrhosis. It is not approved by the fda. ...Read more
What causes elevated bilirubin and liver enzymes after gallbladder removal with ERCP and stent placement after?
ERCP: Many laboratory values can be elevated after manipulation of your biliary tract with ERCP and stent placement since it is an invasive procedure. Your laboratory values are all relative and your provider can trend them. The important thing is to have close followup with your gastroenterologist regarding these lab values and/or any new symptoms like abdominal pain or nausea/vomiting after ERCP. ...Read more
Does consuming Bcomplex daily after food reduces triglycerides apart from regular exercise. If triglycerides are 250 and hdl 25.
Kinda sorta, but ...: Standard or typical B complex doses probably won't make a dent in high triglycerides or low HDL cholesterol. However, high dose vitamin B3 aka niacin has been proven to lower triglycerides & raise low HDL but is often intolerable due to flushing (can be mitigated by aspirin). But there's no proof that niacin prevents heart attacks & strokes to same degree as statins. No such thing as free lunc ...Read more
EPA and DHA: commonly referred to as "fish oils".Get a more detailed answer ›
Replace tissue&Energ: Have U seen dead animal after 2days? UR Stomach lining(which exposd to acid&dig-enzymes) is replaced every 2wks. UR Heart Mscle is replaced every 4-6 mnths Individuals who shed skin cells faster than can replace have Psoriasis, Excema Carbs mainly for energy, but also form backbones of some proteins. 18 inch baby become 6'4", cells did not get bigger, all replaced&more added hundreds of times ...Read more
Within 12 months - high cholesterol, triglycerides normal, mildly elevated liver enzymes, and most recently an egfr of 59, and gallstones. What gives?
Liver enzymes: Hi christine! i hope you're feeling ok. Lots of things could explain the picture you're describing. You must be having some symptoms that prompted these tests. Please speak with your private physician to discuss these questions...This is a really hard online diagnosis to make.... ...Read moreSee 1 more doctor answer
No: These two are not related.Get a more detailed answer ›
Don't treat labs: Omega-3's have been a massive disappointment in most areas when subjected to scientific testing. Most important is finding WHY these liver tests are up. If it's chronic hepatitis B or C, hemochromatosis, Wilson's, or autoimmune hepatitis, you're going to die if you're not diagnosed & Rx'd. If this is non-alcoholic steatohepatitis, nothing will help as much as getting aerobically fit. ...Read more
Hi.My HDL is 0.804 mmol/l and LDL is 1.27 mmol/l and triglyceride is 1.16 mmol/l and total chol is 2.60 mmol/l and hemoglobin 135g/l are these ?
Was diagnosed fatty liver with sgpt 71 and LDL 139(total chol. 200) & TSH 11.5, are these all bcz of fatty liver, how severe is my fatty liver?Plz help
See below: Your LDL is only slightly elevated. A prudent diet will correct it. Your TSH indicates deficiency in thyroid hormone and has nothing to do with fatty liver but requires attention. Your SGPT is elevated - the degree is non-diagnostic and not helpful. If fatty liver is suspected, it can only be graded with liver biopsy. Repeating the SGPT in 6 weeks would be more prudent. ...Read more
Mitochondria: It sounds like you have been reading about mitochondria, the powerhouse organelle of cells. These organelles use methods to create the cellular currency of energy, Adenosine triphosphate. You probably read that a portion of the ATP synthase complex is embedded in the mitochondrial membrane. Read about it here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278611/ You can consult me if you have Q's ...Read more
Chronic Elevated Total bilirubin (2.5) direct bilirubin (0.5) and indirect bilirubin (2.0). All other liver enzymes are normal. What causes this??
Sounds serious: Hello again Matt. If your direct bilirubin is actually 0.5 mg/dL now, then this is more than Gilbert's which I understand is diagnosed. If this is not a lab error, then I suspect you have cholestasis too for some reason and you deserve a workup by somebody who's good with liver disease. Actually, the alprazolam / Xanax you're taking occasionally causes this. You might start there. Best wishes. ...Read more
Hi.My HDL is 0.804 mmol/l and LDL is 1.27 mmol/l and triglyceride is 1.16 mmol/l and total chol is 2.60 mmol/l and hemoglobin 135g/l are these ok?
Your body wilk: Break down anything and everything it can into basic building blocks and then metabolize them for calories and energy, store them away or use them to manufacture something like carbohydrates, proteins, fats or anything and everything else. There's nothing special about Amino Acids - they're just building blocks that will be broken down like everything else. ...Read more
How can bacterial overgrowth, a common consequence of gastric syrgeries, lead to changes in bile acids that upset bile function?
No gall bladder. Would taking " bile acids factors" by jarrow hurt if possibly have non-acid reflux? Aka bile reflux?
Wouldn't help: Bile reflux gastritis is caused by inflammation of stomach lining by alkaline bile (a digestive detergent). Antacid meds and acid reducers like Prilosec don't help this, because acid is not the issue. Other meds that coat the stomach and/or prevent back flow from small bowel into the stomach help. Discuss with your doc. ...Read more
How can bacterial overgrowth , a common consequence of gastric surgeries , lead to changes in bile acids that upset bile function ?
Dysbiosis possible: It is equally possible that the antibiotics you took made your normal flora out of balance. When you have major surgery you are given broad spectrum antibiotics to prevent infection. But the antibiotics kill the good bacteria is well as the bad bacteria, then they get out of balance. Sometimes if you take probiotics, that can restore the balance and make things better. ...Read more
Reflux is common: Typically it may cause heartburn or a sour or bitter taste in the mouth. Overeating or laying down after a heavy meal may cause it to come on or get worse. caffeine and certain foods like spicy foods may cause your symptoms to get worse. your doctor may suggest doing an upper Endoscopy to document changes. SOmetimes bacteria cause symptoms, and that should be investigated ...Read more
Maybe big trouble: We check for several nonspecific liver tests like ast, alt, alkphos, bili and one specific GGT test for alcoholism (and others). We worry when these increase 2x, 3x, 4x etc. Bile acid (bilirubin) can increase in a newborn and cause jaundice, which is temporary and treatable. In adults, an elevate bili can be ominous possible heralding hepatitis, disease, or blockage of some type. ...Read more
I had an endoscopy done 2 days ago,i was told that i have gastritis and that i have increased secretions of acid and bile,what is the cause& solution?
Many: There are many causes of gastritis- Certain foods can irritate your stomach such as alcohol, chocolate, spices and mint. Also, NSAID medications such as ibuprofren can irritate the stomach. A potential solution is avoiding certain foods and ibuprofen. Medications such as nexium (esomeprazole) and sucralfate may help also. ...Read more
Depends...: ...on the reasoning behind the test: e.g. non-fasted blood draw to rule out Gilbert's would alter results. ...Read more
Coeliac D trying to gain weight,there is fat malabsorption, is there any way to ameliorate this other than bile acid sequester? Thank you any tips ?
Time: If you have truly avoided all gluten, the small intestine will eventually heal up and start absorbing the nutrients within a few months at the latest. Just give it time. If you still fail to gain weight after 3 months, check with your GI again to see if there may be something else causing your weight loss issue. ...Read more
Reflux,Atresia,DKA: Bile is a greenish golden color secretion, produced by the liver ; is stored in gallbladder.Bile leaves from gallbladder through bile duct and helps in absorption of fats. Bile duct may be obstructed, causing gallstones. Biliary atresia, biliary cirrhosis, biliary cholangitis, pancreatitis ; bile reflux are bile related conditions. Acetone bodies are ketone bodies and can cause dka, ketoacidosis. ...Read more
Can eating before a bile acid blood test affect the results. When testing for pregnacy cholesatsis ?
Cholestasis: It is not necessary to be fasting before serum bile acid testing for cholestasis of pregnancy. Not all patients with cholestasis will have abnormal blood work. Some physicians will try a medication called Ursodiol in patients with suspected cholestasis. If the itching resolves on this medication then this can confirm the diagnosis. ...Read more
Up and had the need to vomit, though what only came out was some acid green liquid, might it have been bile?
Biliary emesis: Bile is typically a golden yellow to green color. It mixes with food to help digest dietary fats. When bile backs up into the stomach, it may appear in your vomitus. When persistent, it can lead to alkaline reflux and stomach irritation. Lots of common things can cause bilary emesis, but if persistent, worsening, or associated with pain, tenderness, weight loss, blood then please have it evaluated. ...Read more
Pregnant 26+5 by scan.bile acid sent was 11.9 reported .started on UDCA tab .any effects on baby ?baby wt estimate d by scan 750g and told ?IUGr .????
Cholestasis: Your pregnancy is at risk due to fatty liver, so there is a strong chance your baby will deliver prematurely if this does not improve soon. The ursodeoxycholic acid you are taking helps to reverse that trend, so hopefully this will get better. Trust your OB, and stick to the diet they likely put you on to help, and hopefully your liver gets better soon... ...Read more
I'm on tpn and have a gj tube mainly to take medicines thru the j part. Farrel bags help empty the acid and bile. Why does it hurt, what should I do?
No, different source: Bile is a fluid produced in the biliary tree in the liver, whereas stomach acid is the fluid produced in your stomach to assist with digestion. Dry heaves can be elicited by both acid reflux as well as gallbladder disease. Bile has a bitter taste while acid reflux is sour or acid. In any case get evaluated by your doctor to determine the source of your symptoms ...Read moreSee 1 more doctor answer
I've heard of bile acid secuestrants as an alternative to statins for high cholesterol. What are the negatives to using them?
Partly helpful.: While bile acid sequestrants can help lower cholesterol, statins not only lower the LDL ("bad cholesterol"), but also have what are termed "pleiotropic effects" upon endothelial function, the stability of atherosclerotic plaques, decreasing oxidative stress and inflammation, and inhibiting the clotting response. Statins seem to have antitumor and other effects as well. ...Read more