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Q. Do I need to take medicines for elevated bilirubin?

Answered by
Dr. Happykumar Kagathara
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 23, 2016 and last reviewed on: Oct 09, 2018

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.

#

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 due to many reasons. If you have any kind of obstruction to bile duct, then total bilirubin and conjugated bilirubin will be elevated.
  • If the production of bilirubin in liver is high, then total bilirubin and unconjugated bilirubin will be high as in your case.
  • Formation of bilirubin is directly depends on the amount of red blood cell and hemoglobin level as the breakdown of hemoglobin may form bilirubin. This is a natural process and elevation of 0.5 to 0.7 levels of bilirubin is not significant.
  • Liver enzymes are within normal range and are considered as normal functioning of liver tissue.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Thank you doctor,

Do I need to take any medication? Please suggest me on this.

#

Hi,

Welcome back to icliniq.com.

  • I do not think that you might require medications for this. Repeat your liver function tests after 15 or 20 days.
  • Also, get one ultrasonography of the abdomen for status of liver and spleen. I think this is sufficient as per your reports.
  • Please consult a medical gastroenterologist in person to get yourself examined.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


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