Is it fine to have a bit higher bilirubin level?

Question

Hello doctor,

I am a 29-year-old male, weigh 198.4 lbs , height is 5 feet 9 inches, non-smoker, non-alcohol drinker. I do not have any symptoms or signs, normal eye, and skin color. I am taking Cipralex 15 mg for the past one year. Had a history of bladder stone and it required admission for one week until it passed normally by medications without surgical intervention. When I reviewed my blood test results, I found out the bilirubin level is bit higher than normal. I was overthinking, so I kept repeating the test weekly. What do you think of my case? Could we consider bilirubin high? If yes, what might be the causes?

Answer 1

Hi,

Welcome to icliniq.com.

If "mmol" means "micron mol," then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. The most common cause of the condition is hemolysis; Gilbert syndrome is also a common cause of such a situation. In both the conditions, we find the unconjugated bilirubin. I hope your urine is not yellow.

Another issue is you have a high BMI. It is obesity. So, you may have a fatty liver disease; that could be the cause of high ALT. I want to do a fibroscan and repeat ultrasound for fatty liver and TATA box mutation for Gilbert syndrome and reticulocyte counts with smear examination and G6PD level in blood. Rest of the workup you have already done. You may provide the complete reports of the investigation, including the previous investigation. So it will be good for us and help to interpret.