2 doctors weighed in:

Hi Doc My billirubin levels went to 17 and my ultrasound on liver, pancreas shows normal, ALT.ast came normal and HEP A,B,C came negative. Pls suggest?

2 doctors weighed in
Dr. Milton Alvis, jr
Preventive Medicine

In brief: SeveralPossibilities

?ed breakdown of RBCs (Heme=bilirubin source), anything ?ing ability of hepatic cells to move bilirubin from blood into bile &/or internal bile leak & internal recycling of bilirubin, US=limited data of echos from tissues; highly dependent skills/knowledge of technician & physician reader+awareness of clinical situation (often not told).
ALT&AST only indicate no ?ed rate of liver cells leak/death.

In brief: SeveralPossibilities

?ed breakdown of RBCs (Heme=bilirubin source), anything ?ing ability of hepatic cells to move bilirubin from blood into bile &/or internal bile leak & internal recycling of bilirubin, US=limited data of echos from tissues; highly dependent skills/knowledge of technician & physician reader+awareness of clinical situation (often not told).
ALT&AST only indicate no ?ed rate of liver cells leak/death.
Thank

In brief: Direct or indirect

you need to have analysis of the bilirubin totoal,direct,and indirect that will differentiate if the high bilirubin is it hepatic ,or obstructive,or a hemolysis so have that done and you will know the answer

In brief: Direct or indirect

you need to have analysis of the bilirubin totoal,direct,and indirect that will differentiate if the high bilirubin is it hepatic ,or obstructive,or a hemolysis so have that done and you will know the answer
Thank
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