Doctor insights on:
Why Do Bilirubin Scores Fluctuate
Bilirubin direct and indirect fluctuate (indirect 1.2, direct 0.1, total 1.3...Another test: indirect 0.43, direct 0.54, total 0.97), lfts normal.
Might be Gilbert's: A relatively large portion of the population has something called gilbert's, which is completely harmless, and causes elevated indirect bilirubin in times of stress or illness. If you are completely healthy and just have an elevated indirect bilirubin from time to time, it is almost certainly gilbert's. Ask your doctor what he/she thinks. ...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
Why does the globulin, bilirubin and albumin fluctuate. Sometimes goes up and sometimes down every month. It is always not normal though. Pl advice?
Expected: Variation in blood tests across all parameters is expected. Part of it may be related to your level of hydration at the time of the blood draw, part is related to subtle variation of the machines running the tests, part is expected as your body's physiologic processes never run at exactly the same rates all the time, part may be related to different environmental exposures you have. ...Read more
Cirohsis, bilirubin 4.2, heart EF 20-25%, brain stroke, left side weak, BP is very low, stable with saline sol. Pulse fluctuating. Pl advice?
Severe illness: This is multiorgan failure, and the outlook is not great, but the only way to assess this is to be the doctor in charge of managing the patient. In addition to determining the therapy there should be discussions on end of life decision making. Hope this was helpful. ...Read more
Liver enzymes elevated AST 50 ALT 78 bilirubin 1.2 us showed very little fat in liver. Could this be thyroid problems? They keep fluctuating.
Very little fat?: You shouldn't have fat in your liver, period. This isn't thyroid disease; everybody's levels fluctuate. If you drink alcohol, you need to stop for a few weeks and get rechecked -- this could be your wake-up call. You'll need hepatitis b and c, medication effect, hemochromatosis, autoimmune hepatitis and wilson's ruled out. If you do have non-alcoholic fatty liver, aerobic fitness is a key. ...Read more
Metastic colon cancer. In hospital with enteritis, nausea and appetite loss, Bilirubin fluctuating - umol/L used in uk Numbers are 12, 19, 12, 30. All this week?
Please try to ask a-: -question. You gave a statement with a? After it. There's no question here. ...Read more
0 to 1 by our lab: Depends slightly on lab used. Our lab uses 0.0 to 1.0 fmg/dl or total bilirubin and 0.0 to 0.3 for direct bilirubin. Direct/conjugated bilirubin can be elevated in liver/biliary system disease, and indirect/unconjugated bilirubin can go high with hemolysis (break-up of red blood cells in blood stream), can be a harmless inherited condition (eg gilbert's), and has various other causes. ...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
Bilirubin: Elevated bilirubin can result from two main sources-- breakdown of hemoglobin (from red cells) and blockage of normal secretion from the liver (obstruction of a bile duct.) These two sources are distinguishable in blood (bound vs. Unbound.) Get more information and correlation of type of bili to be sure. ...Read more
Three mechanisms: High bilirubin that is almost all unconjugated means hemolysis (tearing up red cells too fast) or gilbert's non-disease. If it is mostly conjugated, the bile ducts are obstructed, perhaps by a stone or tumor. If both are way up, probably the liver cells are being damaged. ...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
Reference range: Most health adults have bilirubin at or below about 1.4 mg/dl with some variability from lab to lab. Remember that the reference range is not the healthy, "normal" or even "desirable" range. Several percent of humankind of gilbert's non-disease with somewhat higher bilirubins; treating this will simply make you sick. Talk with your physician about any concerns. ...Read more
Depending on levels.: Bilirubin is a by-product of blood cell breakdown which every living-human has. Small amount is normal, but too much can be toxic to the developing brain. Level of 14 or more in preterm and 17 in fullterm baby is concerning and needs medical attention. Feed the baby--as much as possible, more feeding, faster resolution of jaundice. Consult and follow up with doc. Good luck. ...Read more
Just a number.: In and of itself, the bilirubin level is just a number, and as such your number os not very high. It would be prudent, though, to interpret this value with respect to your other liver enzyme values - LDH, AST, ALT, GGT - as well as perhaps a liver ultrasound. Low value, but hard to interpret on its own. ...Read more
Light therapy is used for newborns who have high bilirubin. Light converts insoluble bilirubin to soluble form that can be excreted in the urine. In the newborn it is a temporary issue. The same does not apply to adults. See this for more info.
https://www. Nlm. Nih. Gov/medlineplus/ency/article/002394.htm ...Read more
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