Elevated Bilirubin

Bilirubin is an orange-yellow compound produced as a result of red blood cell breakdown. Increased bilirubin levels are found in liver cirrhosis and cancer, jaundice, autoimmune hepatitis, biliary cholangitis, gall stones, Gilbert's syndrome, bile duct inflammation, hemolytic anemia, hepatitis, etc. Apart from these, symptoms of illness like fatigue, abdominal pain, fever, chest pain, chills, lightheadedness, nausea, vomiting, etc., also cause elevated bilirubin levels.

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Kindly guide us with the treatment for my mom's liver disease.

Query: Hi doctor, My mom is 70 years old. She has chronic liver disease, cirrhosis, portal hypertension and ascites. Her creatinine is 3. She also has type 2 diabetes. We were informed by her doctor that her liver is not producing albumin and her bilirubin level is very high. Please guide us.  Read Full »


Dr. Ankur Jindal

Answer: Hi, Welcome to icliniq.com. Your mom's profile suggests very advanced stage of liver disease (attachment removed to protect patient identity). She has advanced cirrhosis of liver, which is complicated by the formation of portal hypertension and fluid abdomen. The presence of kidney injury add...  Read Full »

Why does my brother get jaundice every year during summer?

Query: Hello doctor, My brother has jaundice, and it is occurring every year during summer. He feels very low and lazy, and his body becomes yellow. He is experiencing weakness and swelling on face and across his ankle. He also has a fever. We do not know why he gets sick every year. In addition to that, h...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post and the investigations (attachment removed to protect patient identity) that you have posted. He has the following problems: Low platelet count of 40,000. Iron-deficiency anemia. Hepatospleenomegaly. Raised serum bilirubin and mild e...  Read Full »

Other than hepatitis, what can cause increased bilirubin levels?

Query: Hello doctor, I have jaundice. My biliurubin was 7.5 three weeks ago. I went to the doctor for jaundice. Weekly blood tests as of three weeks show bilirubin has been increasing. Hep test shows I do not have hepatitis. Ultrasound says no tumor bile duct coverage or stones. I took a CT scan and the r...  Read Full »


Dr. Ajeet Kumar

Answer: Hello, Welcome to icliniq.com. Well, your US (ultrasound) and CT (computed tomography) scan are normal which is kind of satisfying to me. Of course you suppose to have more blood tests to confirm the origin of this jaundice. Hepatitis, although common, but they are not the only one to cause live...  Read Full »

What is the cause of having recurrent episodes of vomiting in my daughter?

Query: Hello doctor, Last year my daughter decided to go on an all vegetarian diet rather drastically. A few weeks later, she got ill with vomiting which lasted for approximately two weeks, so we made three visits to the urgent care, where she was treated for gastritis and dehydration. One month later, the...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. I have two theories here, but I would need a little more information if you would not mind sharing. 1. Has she ever been tested for G6PD (glucose-6-phosphate dehydrogenase) deficiency? 2. During these episodes did she get a CBC (complete blood count) done? 3. Was it c...  Read Full »

Are elevated bilirubin and blood in urine complications of hereditary spherocytosis?

Query: Hi doctor, I have hereditary spherocytosis with snapping scapula and spermatocele. Before few weeks, I took some blood tests. I had elevated levels of bilirubin and low WBC levels. Yesterday, I took a urine sample and found a large amount of blood in my urine. Is this serious? Can I have a blood di...  Read Full »


Dr. Penchilaprasad Kandikattu

Answer: Hi, Welcome to icliniq.com. Yes, it is a disorder that may cause an unstable RBC (red blood cells) membrane leading to produce spherical-shaped RBC. After passing through the spleen, it causes hemolysis. The common complications are anemia, jaundice, gall stones, folic acid deficiency, and aplasti...  Read Full »

My 7-weeks-old baby is suffering from jaundice. Please help.

Query: Hi doctor, My baby is 7 weeks old. He is totally on breastfeed. Yesterday we noticed that his eyes were yellow and we took him to a doctor today. The doctor advised us a bilirubin test. The reports read as bilirubin total 6.8 mg/dL, bilirubin direct 0.9 mg/dL and bilirubin indirect 5.9 mg/dL. Kindly...  Read Full »


Dr. Veerabhadrudu. K

Answer: Hi, Welcome to icliniq.com. It is one of the common complaints from the parents. Such levels of bilirubin are normal in the initial months of life. There is nothing to worry about it. The sleep pattern that you described is perfectly normal. Usually, babies cry continuously for a while and then go ...  Read Full »

Why does the bilirubin level keep changing in my 12-days-old son?

Query: Hi doctor, I am really concerned with the bilirubin levels of my 12 days old son. His bilirubin was 14.2 within 24 hours of his birth, so the doctor decided to start phototherapy, which reduced the bilirubin level to 12 and he got discharged. After a day, he turned pale yellow, so we rushed again to...  Read Full »


Dr. Veerabhadrudu. K

Answer: Hi, Welcome to icliniq.com. I understand that you are upset with your baby's condition. Your baby has ABO incompatibility (mother O and baby A blood group) induced exaggerated NNJ (neonatal jaundice). It is a condition where there will be an excessive breakdown of baby's red blood cells than compa...  Read Full »

Why is my bilirubin level a bit higher?

Query: Hello doctor, I am a 29-year-old male, weigh 90 kg, height is 182, 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 passe...  Read Full »


Dr. Babu Lal Meena

Answer: 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. Most common cause of the condition is hemolysis, Gilbert syndrome is also a common cause of such a situation. In both the co...  Read Full »

Do I need to take medicines for elevated bilirubin?

Query: Hi doctor, My bilirubin levels are high. I just took an opinion from my general physician and he asked me to contact a gastroenterologist to know the exact reason for high bilirubin. Can you suggest any other tests or medication for this? I have also attached my laboratory reports for your reference...  Read Full »


Dr. Happykumar Kagathara

Answer: Hi, Welcome to icliniq.com. You have elevated unconjugated bilirubin and elevated total bilirubin (attachment removed to protect patient identity). But, your liver enzymes AST (aspartate transaminase) and ALT (alanine transaminase) are within normal limit. Bilirubin level increases d...  Read Full »

I have recurrent changes in my bilirubin level and have pain in my stomach every six months. Why?

Query: Hi doctor,For some time, my digestive system is not so good. I feel swelling near my stomach area. I did the LFT test, bilirubin - 1.4, SGOT - 71, SGPT - 115 , alkaline phosphatase- 205 , triglycerides- 171 and ESR- 16 in range of 0-9, and my platelets 1.25. I feel like vomiting all the time. Someti...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect the patient's identity), and ESR (erythrocyte sedimentation rate) is fine, but your liver enzymes are elevated. Elevated bilirubin and SGPT (serum glutamic-pyruvic transaminase) and SGOT (serum glutami...  Read Full »

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