Q. What is the cause for increased bilirubin level?

Answered by
Dr. C Elanchezhian
and medically reviewed by Dr. Nithila A
Published on Sep 30, 2019

Hello doctor,

I am a 50-year-old male, slim, and quite health conscious. Today I had a package blood test done. Other things are fine but in LFT total bilirubin is 1.47, direct bilirubin is .22, and indirect bilirubin is 1.25. SGPT and SGOT are normal. All other parameters are normal. I do not have any problem right now.

Two months back I had some food on a train which led to vomiting and diarrhea for one day. After ten days, I had abdominal pain for two-three days. Then acidity in the stomach here and there for some days. It all lasted for about two months, during which I lost two to three kg of weight also. But now my appetite is perfect, and I have resumed my regular exercise. Stamina is also fine. I had a cough and cold for a few days, which is ok now. Please guide me on what could be the cause for these elevated levels of bilirubin. I suffered from viral hepatitis when I was about 25 years old.

Dr. C Elanchezhian

General Medicine Internal Medicine


Welcome to icliniq.com.

You do not have any complaints.

1. Total bilirubin 1.4

2. Direct bilirubin 0.22.

3. Indirect bilirubin 1.25.

Only total bilirubin is slightly elevated. For some people, if no complaints, this mild increase common need not worry.

Thank you doctor,

I was worried about having some infection in my liver. Is it fine to take cod liver fish oil capsules? I am taking one sea cod brand capsule every day from the last three months. And is it fine to go for the hepatitis B vaccine?

Dr. C Elanchezhian

General Medicine Internal Medicine


Welcome back to icliniq.com.

As per your previous history, you had viral hepatitis 25 years back. You must have immunity for hepatitis. But we do not know what type of virus A, B or C. No harm in taking hepatitis B vaccination you can take. Cod liver oil is good can take.

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