Doctor insights on:
High Bilirubin High Triglycerides
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
Are crucially important, energy-dense, poorly-water-soluble molecules made of 3 fat molecules attached to a glycerol backbone. They are made by all animals, including humans http://goo. Gl/H7mItd, mostly in the liver, as a way of storing energy & transported within fat carrying proteins (lipoproteins). Production & storage ↑es on sugar/carbohydrate LFHC foods driving ↑ LDL-P & ...Read more
Depends: It depends on the age of the patient and the level of the jaundice. Jaundice in adults is not as dangerous in that the bilirubin (which causes the jaundice) is not damaging, but it can indicate a condition that is (liver failure.) in babies, a high level of bilirubin can lead to a condition where the bilirubin gets into the brain and causes permanent damage to the developing brain cells. ...Read more
More than 2mg/dl: This number has to be carefully interpreted in the context of other liver tests, clinical context and medical history. ...Read more
It depends: There are dozens of reasons for any one blood test to be above or below the normal value. Blood test need to be interpreted in light of the patients symptoms and physical examination findings. If unsure why a blood test falls outside of the normal range ask your doctor. ...Read more
The most common cause is gilberts syndrome a genetic syndrome where a specific liver enzyme it missing. Patients with this syndrome can have elvated bilirubins when fasting or stressed.
They live a normal lifespan and the elevated bilirubin may be protective. There are other causes of elevated bilirubin like gallstones, but you probably should check with your doctor. ...Read more
How high?: What is the actual value? What are the results of other tests? How long have you had this abnormality? Lab test results need to be interpreted in the total clinical context. It would be prudent to discuss the matter with the doctor who ordered the lab test. ...Read more
Not Usually: For many labs that value is normal, or close to normal. However, even when high, isolated elevated bilirubin (no other liver labs are high) is usually due to a condition known as gilbert's syndrome, and is not worrisome. You may find other family members have this as well, as it is genetic. ...Read more
High bilirubin: Dark colored urine and increased bilirubin may be due to some form of hepatitis. Usually it's accompanied by right upper abdominal pain and jaundice-yellow sclera of the eyes. Stool may turn pale clay color. There are multiple causes of hepatitis: viral, obstructive due to blockage in a gall bladder or from some medications. You need to see a doctor for further blood work and abdominal sonogram ...Read more
Grandpa diagnosed with lungcancer a week back Bilirubin count is very high so they cant start chemo. Can we expect him to be better?
Possibly: With a diagnosis of lung cancer presence of an elevated bilirubin suggests not so much liver disease but metastasis to regional nodes at the porta hepatis An intrahepatic lesion can also bock ducts A stent should be inserted to allow the jaundice to subside and chemo or immunochemo given. Several new drugs including checkpoint inhibitors can be used. ...Read more
2 tests done in past few months. Total Bilirubin 21 umol/L N < 25 // 1st test showed 25 umol/L. Suggested Gilberts, is 21 high?
Bilirubin high?: F age? : 2 tests done in past few months. Total Bilirubin 21 umol/L N < 25 // 1st test showed 25 umol/L. Suggested Gilberts, is 21 high? ANS: No-if the normal is <25 then 21 is <25 and therefore normal. But discuss with Drs that ordered the test. Gilbert's is inherited problem with bilirubin metabolism of no consequent-mostly. Discuss with your Dr. Go to uptodate. Com for more information. ...Read more
I take testcypimate I've had blood work and my t count was high as well as my bilirubin level 1.8. Everything else was normal, should I be concered?
Needs follow up: Your testesterone replacement should not get your serum level higher than about 1000 (depending on the lab). It can cause some liver issues that could increase your bilirubin so this does need to be addressed by your doctor, but I would assume cutting back on the replacement will get both things back in range. ...Read more
Sir, I am rajib data from agartala india. Recently I have done bilirubin test the result little high how can I reduce my total bilirubin in naturally?
Reducing bilirubin?: By knowing what causing it and taking care of it, ask u physician. ...Read more
More than ~1.5 mg/dL: Or thereabouts. Whether it means anything is another story. Folks with gilbert's hover between here and maybe 3-4 without being sick. Folks who have hemolysis from illness or extreme athletics run a high bilirubin that's well tolerated. Liver disease and bile duct obstruction are likely to raise bile salts and the jaundice is thus more unpleasant. ...Read more
How high?: A slightly elevated bilirubin or bilirubin at the upper end of normal is good for you. After that it depends on why the bilirubin is high. Abnormally elevated bilirubin may be due to hemolysis, liver inflammation. Bile duct obstruction, drug and drug effects etc and problem depends on the cause. ...Read more
Might occur: Some variants of porphyria can affect the liver and cause abnormal liver testing. You can get answers by analyzing your urinary and serum porphyrin levels, and this could allow interventional approaches to bring under full control. ...Read more
Yes, could be caused: By incomplete absorption of B12 or not enough B12 in the body. B12 allow red blood cells (RBC) to survive its 120 days; & if there isn't enough, rbc break down and are destroyed producing bilirubin: megaloblastic anemia. Decreased absorption of B12 caused by destruction of parietal cells, causing pernicious anemia. b12 is also stored in the liver so if u have a liver pathology, abnl levels occur. ...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
Don't Rx lab values: Elevated bilirubin is not by itself dangerous (except to babies at high levels). It is a marker for illness but the big picture is the key. Several percent of healthy folks have Gilbert's non-disease with slightly high indirect bilirubin and a tendency to turn yellow if you miss a few meals. Isolated high bilirubin can be a marker for cholestasis from meds or hemolysis from any cause. ...Read more
Yes and it depends: On the cause. 2.4mg/dl is high for total bilirubin. First thing to do is to find out if it is direct or indirect or both types of bilirubin that are elevated. High bilirubin can be due to liver disease, hemolysis, biliary obstruction and the treatment is dictated by the cause of the abnormality. ...Read more
Depends: This depends on the cause, level, & type of elevated bilirubin (conjugated vs unconjugated). There are many causes of high bilirubin levels, some of which are relatively benign, and some that may be serious. In some cases, high bilirubin may cause yellowing of the skin/eyes or increased risk for gallstones. In newborns, a significantly high bilirubin is dangerous due to the risk of brain damage. ...Read more
Need actual values: 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, it would help to have the actual values. 70% indirect and 30% direct per se are not a problem. If you total bilirubin is higher than 1.2 mg/dL, it would be worth looking into it further. ...Read more
I just got my blood results back and everything was good but my bilirubin was high what does that mean? And what is bilirubin?
Gilbert's: Bilirubin's the green stuff in bile; your liver processes it from broken-down red blood cells. A few percent of people always have a mildly elevated indirect bilirubin from "gilbert's non-disease"; your physician knows how to detect this. If you've ever missed a few meals and turned a bit yellow, you can probably self-diagnose. Trust you're not taking meds that cause cholestasis. Your dr can tell. ...Read more
Yes, with Gilbert's: In all likelihood, particularly if more than 85% of your total bilirubin is unconjugated (bilirubin molecule is not attached to a protein that allows it to "dissolve" in blood) you have gilbert's syndrome. This is present in 2% of americans, who present with episodic jaundice. Often such jaundice occurs at times of stress, fever, fasting. Associated with low gluconyl transferase enzyme levels. ...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
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