Bilirubin is high but other liver functions are normal. Should I worry?

Hello,

Welcome to icliniq.com.

I have reviewed your test results (attachment removed to protect patient identity), and the only abnormality is high direct bilirubin. Higher than normal levels of direct bilirubin in your blood may indicate your liver is not clearing bilirubin properly. The most common causes are cirrhosis, gallbladder disease, Gilbert's syndrome, bile duct cancer or stenosis due to other causes, hepatitis, liver cancer, sickle cell disease, and following chemotherapy. You will need further tests, including imaging tests, to evaluate your bile duct and the liver to come to a diagnosis.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

Yes, that is possible since your indirect bilirubin is much higher than the direct bilirubin levels and your other liver function tests. Your complete blood count and reticulocyte count are absolutely normal, and you do not have any other disease process. The normal hematology results rule out the possibility of sickle cell disease or other hemolytic anemia, which can cause high indirect bilirubin levels.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.