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Doctor insights on: High Conjugated Bilirubin

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Total bilirubin 2.5 (Elevated), Direct bilirubin 0.5 (Elevated), Indirect bilirubin 2.0 (Elevated) All other liver enzymes normal. What causes this?

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 (Definition)

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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Bilirubin high liver ast, GGT normal?

Bilirubin high liver ast, GGT normal?

Not all AST is liver: This could be due to rhabdomyolysis. Intense muscle breakdown can cause elevated ast. Hemolysis can cause elevated bilirubing and the GGT would remain normal in these circumstances. ...Read more

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Fasting blood work. Total Bilirubin 1.5, Direct Bili 0.2, Alk Phos 44, AST 24, ALT 20, Albumin 4.4, Tot protein 6.6. Is high total Bili concerning?

Fasting blood work. Total Bilirubin 1.5, Direct Bili 0.2, Alk Phos 44, AST 24, ALT 20, Albumin 4.4, Tot protein 6.6. Is high total Bili concerning?

Not unless its inc--: reasing. Every Lab has its own Reference range, so checking with your PCP would be the best as None of us would have a clue to the Reference your lab uses. Overall your numbers are not terribly high, except the Alk phos, I think. Best check with your PCP and maybe repeat the tests after 4-6 weeks time. Good Luck ...Read more

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Elevated alt/ast/ldh and bilirubin?

Elevated alt/ast/ldh and bilirubin?

Liver dysfunction : This indicates abnormality in liver function. Talk to your physician. ...Read more

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My total bilurubin 0.88 direct bilurubin 0.37 indirect bilurubin is 0.51, serum globulin is 3.27 Are these levels normal?

See below: 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, your globulin level is higher than normal. It can be due to many causes, e.g., chronic infection, inflammatory disorders, liver disease and myeloma. Please discuss the matter with your doctor. ...Read more

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Does high bilirubin level indicate liver disease?

Does high bilirubin level indicate liver disease?

Bilirubin: Gilbert syndrome (normal variant usually less than 4), gallstone obstruction (you'll be very sick), end stage liver disease (again very sick), pancreatic cancer (causing obstruction). Could be many things, go over results with doctor and gi. ...Read more

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Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones.causes? advice?

Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones.causes? advice?

HF: you have complex issues. Why do you have HF and also the cause of liver disease ? The AGMA is concerning and has to be worked up. Some of these conditions can be related. What hormones did you take ? I have more questions than answers, more so because you have 2 organ dysfunction and a acid base disorder and they can be related. ...Read more

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Is this considered high bilirubin results: Total Bilirubin 1.1 mg/dL, direct: 0.41dL and indirect 0.7mg/dL. ALT (SGPT) 36 UI/L, AST 29 UI/L?

Is this considered high bilirubin results: Total Bilirubin 1.1 mg/dL, direct: 0.41dL and indirect 0.7mg/dL. ALT (SGPT) 36 UI/L, AST 29 UI/L?

Normal: the results you give look normal to me without knowing any reason why they were done. Results should always be discussed with the doctor who ordered them and interpreted in a complete clinical setting. ...Read more

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Crp1.01mg/l, serum bilirubin direct .42,bilirubin total .83,pcv/haematocrit 39.7,eosinophils 7,cortisol 8.87ug/dl.is it a problem?

May not be: This all depends on the medical reason the tests were drawn. These may all be normal for you. Part of this may depend on the normal ranges for the lab where the tests were done. This of course is best discussed with your physician. ...Read more

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5 year old with high levels of bilirubin and alkaline phosphatase, high bun/creatinine ratio and high MCV and mch. Low levels of co2 and creatine?

5 year old with high levels of bilirubin and alkaline phosphatase, high bun/creatinine ratio and high MCV and mch. Low levels of co2 and creatine?

Not enough info: Unfortunately, other than bloodwork results, no more information is provided. That's not enough to tell what's going on. Either try to provide more info or better off consult with a physician locally. ...Read more

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What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?

What causes high glucose serum,  calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?

Means nothing alone: As a pathologist who's devoted a lifetime to lab medicine, my teammates and i are always reminding people that lab results mean nothing whatever in the absence of a history & physical exam. Please don't take this the wrong way, and i appreciate your proactive approach to health. But no one can do anything with this. Ask instead, "could high Albumin out-of-range be from dehydration?" etc. ...Read more

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High bilirubin cause itching?

Yes: High bilirubin due to obstruction of biliary tract, i.E, high direct acting bilirubin does cause itching. The itching may be due to bile acids but that is semantics. ...Read more

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High white count low bilirubin low CPK high alt?

High white count low bilirubin low CPK high alt?

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

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Cholesterol high, LDL high, HDL high, ALT high, AST high could the cause be my TSH being high from Hashimoto's?

Definitely: Hypothyroidism will cause all of these metabolic problems. It commonly causes HyperCholesterolemia, and will cause your liver enzymes to elevate because of fat accumulating in the liver cells, called NASH (Non-Alcoholic SteatoHepatitis). NASH rarely actually leads to hepatic problems/failure- only has that potential if the metabolic impairment isn't fixed. The high LDL Cholesterol can hurt badly! ...Read more

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Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?

Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?

TSH is WAY high!: Must get on a higher dose of synthroid (thyroxine). This can be life threatening, get treated asap, ! other thyroid tests need to be done to know what needs to be done, and to come to a diagnosis. ...Read more

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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

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What would would cause these results? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2

Not enough info.: It's impossible to analyze isolated lab tests without having the results of all of the tests and an understanding of the patient's medical history, current symptoms, and physical exam results. Although the results don't seem alarming to me, you should discuss them with your doctor. As an alternative, you could upload them to HealthTap Prime and discuss the results with a doctor here. Good luck. ...Read more

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What causes high globulin, but low globulin albumin ratio?

What causes high globulin, but low globulin albumin ratio?

Liver blood tests: The liver is an amazing organ- it does many things including making proteins your body needs. Albumin is a major protein product of the liver. Chronic illness can cause that to decline- esp. if you're not eating. Globulins are other proteins usually made to fight diseases like infections- perhaps you've been fighting an illness for a few weeks/months that explain this pattern. ...Read more