Doctor insights on:
Elevated Total Bilirubin
Bilirubin, a product of hemoglobin breakdown, is present in two forms in the human body: unconjugated (indirect bilirubin, insoluble) and conjugated (direct bilirubin, soluble). Unconjugated bilirubin is conjugated in the liver and released into the small intestine in bile, the fluid in the gallbladder. Total bilirubin measures indirect bilirubin plus direct bilirubin; part of ...Read more
What does having elevated total bilirubin (1.1) but low BUN (4) mean? AST was also flagged as low but I have read that isn't significant.
All ok: All these data are essentially normalGet a more detailed answer ›
Keep having bilirubin in urine. Cmp always normal other than elevated total bilirubin, was diagnosed with gilbert's disease. What else to do?
Other idea: If you've got bilirubin in the urine, chances are you have a conjugated hyperbilirubinemia (dubin-johnson / rotor / something else equally banal) rather than gilbert's. Many physicians like to lump these together but they're all generally trivial. Get an exact diagnosis from a gastroenterologist if you wish. ...Read more
Heavy/moderate drinker for 1 year. 2 Blood test show slight elevated total bilirubin of 28. Ultrasound normal. Is this due to alcohol consumption?
Unlikely: Transaminases (SGOT/AST, SGPT/ALT) rise well before the bilirubin. Several percent of folks always have mildly elevated indirect bilirubin from Gilbert's non-disease. Cholestasis from meds, low-grade hemolysis from marathon running can raise bilirubin. I'm worried about heavy drinking at age 22 rather than labs. This is a path that leads to a bad life and early, miserable death. Can we help? ...Read more
Why would a teenager have low vitamin d, an elevated (4.5) total bilirubin, irritable bowel symptoms and fatigue?
Need testing: Low vit d is common in those who don't supplement with d during fall & winter & is easily corrected. Irritable bowel symptoms are common & often genetic. It often responds to a fodmap diet: http://cassandraforsythe.Com/blog/complete+fodmap+list+for+a+happy+gut but make sure you don't have parasites, food allergies or imbalances of flora. You need tests to find the cause of high bili.See comment:. ...Read more
Get indirect n direc: Get direct n indirect levels.Get a more detailed answer ›
Need more info.: Individual lab tests cannot be interpreted without all of the results and an understanding of the patient's medical history. I would recommend asking the doctor who ordered the test or a consult on HealthTap Prime, If you have the lab results and can upload them. Good luck. ...Read more
What does it mean to have elevated conjugated bilirubin but normal total bilirubin? And if it is together with high amylase and borderline lipase?
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
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