Doctor insights on:
Total bilirubin 2.5 (Elevated), Direct bilirubin 0.5 (Elevated), Indirect bilirubin 2.0 (Elevated) All other liver enzymes normal. What causes this?
Rerun test: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, you need to re do the tests in non-fasting state. With the exception of elevated direct bilirubin, the findings are consistent with Gilbert syndrome, which is not a disease. See this site for more info: http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/con-20024904 ...Read more
Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more
High ALT(140), ALP (147), AST(60)...Normal Biliribun....with extreme fatigue....no jaundice..normal appetite. Possible causes and next steps ?
Workup: Your physician knows what to do. A trial off alcohol and meds may be indicated. If this proves not to be the problem, then you need to be worked up for hepatitis B and C, hemochromatosis, antitrypsin deficiency, and autommune hepatitis; Wilson's is unlikely at your age but may be worth considering. This may simply be your body's way of asking for more exercise. Best wishes. ...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
Undiagnosed, elevated liver enzymes 3 yrs, fever, fatigue, edema, now high alpha 2 glob, low albumin, a/g ratio .94. Extreme episodes of distention ?
Ttl. Bilirubin 4.5. Direct 0.9 and yellowing of eyes! liver functioning normal. Neg for hepatitis. Gallbladder ultrasound norm. Gilbert's disease?
Yes: Your description is classic for diagnosing gilbert's. Given how many repeated questions you have written questioning this diagnosis, you could spend $400 to get the gene responsible for gilbert's sequenced to verify the diagnosis. See: http://dnatesting.Uchicago.Edu/tests/65. ...Read more
Elevated liver enzymes elevated platelets positive ANA fatigue hair loss muscle weakness joint pain frequent infections docs say idiopathic?
See Rheumatologist: I would recommend that you see a rheumatologist for a consultation. ...Read more
Explanations for elevated bilirubin ? (indirect high, direct normal)...also normal hemoglobin, low platelets, other liver function tests normal
Need more info: About 2-3% of otherwise normal people have elevated bilirubin, usually less than 5.0 mg/dL. Gilbert's disease is a usual cause and it despite disease in the name, it does not adversely affect a person's health. If you have any symptoms, it would be prudent to see your doctor. Consult this site for more info. http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/CON-20024904 ...Read more
What medical conditions can cause low hemoglobin, low mcv, elevated liver enzymes ? Im extremely fatigued, excessive sweating, fast heartbeat back pai
IRON DEF ANEMIA: You have 2 conditions, anemia due to iron def most likely due to heavy menses. Elevated liver enzymes may be due to hepatitis. Both conditions linked may be due to some hemoglobinopathy such as thallassemia in addition . Suggest start oral iron and check for hepatitis b and c and hemoglobin electrophoresis ...Read more
What causes chronic fatigue, nausea, loss of appetite, dizziness, blurred vision and overall achiness. Blood tests..Low vit d/b12, high calcium/pth ?
Those things can,,,: All the things you mentioned can give you many of those symptoms. Vit B12 deficiency especially can do it. The high PTH is a concern also as it can mean a possible adenoma, so it would be smart to see your doctor for therapy to correct your deficiencies and find out why the ca/pth is high. Best of luck. ...Read moreSee 1 more doctor answer