Doctor insights on:
Elevated Bilirubin Levels
ALT: Alt elevated means the enzyme of liver leaking into your blood after liver cell damaged. You can see, if a lot of alt in your blood means your liver has been damage a lot. That is why very high level alt is dangerous. ...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
Treat the number?: Advice: doctors treat patients and not numbers. A slightly elevated crp" without the clinical context, is like a fish out of water. You need more information...Was an infection or a heart problem suspected? How were you feeling? The CRP mentioned can be bad if it's in the context of a heart attack, or not really bad if an infection was suspected. ...Read moreSee 1 more doctor answer
Maybe Infection.: The elevation of neutrophils coukl mean bacterial infection, as these cells are important in fighting this kind of infection. The high hemohlobin seems nonspecific, in abscence of other symptoms and signs. It could possibly mean a polycythemia, one of the porphorias, or a myeloproliferative disorder, which could explain the high neutrophils. It can also be from high altitude. See dr. For more. ...Read more
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more
Iron overload or...: High ferritin levels in your thirties could be an indication of an primary ( hemachromatosis) or secondary (hemosiderosis) overload state, or chronic inflammation. Ferritin levels in the iron overload states are typically quite high and are typically > 800; whereas chronic inflammation will produce levels typically <800. ...Read more
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
May be, may be not: Further evaluation is obviously needed. I can't say whether it is related or not without getting more information. In many cases- probably those two are not related. However in a case of colon cancer with metastatic disease to the liver- it can cause both increase of bilirubin level as well as low iron. Go to see your md and discuss further your condition. ...Read more
To the extent that: P vera would be associated with increased rbc turnover, a modest increase in bili is possible. However, the disease is one of proliferation more than destruction, so if the bili is quite high we need to evaluate. ...Read more
AST elevated (65), ALT elevated (50) and total bilirubin elevated (3.0). All other enzymes are normal. Is this significant??
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
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