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Gastroenterology  (Expert Forum)
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What does this elevated bilirubin mean????
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What does this elevated bilirubin mean????

by Troy, Dec 01, 1999 12:00AM
I am a healthy 34 year old white male, no smoking ever in my life but did have some alcohol usage in younger years. In 1995, I had a work physical that came back with an elevated bilirubin(total) of 2.2.....range .2-1.2. Also in this blood test my total protein was 8.3.....range of 6.4-8.2 and my albumin was 5.2......range of 3.8-5.0. I really never thought to much about it since I am not a medical person so I just let it go and never went back for follow up. Now, I had another work physical done last week and once again, elevated bilirubin. This time it was 3.05 with the same range as above. On this test....everything else was normal this time SGOT was 17 and alk phos was 68. They did not do an AST or GGT this time but did the first time in 1995 and those were both well in the normal range. I feel fine, no problems that I am aware of . But now, I am married to a Registered nurse and she is freaking out over this.....she thinks I have a liver ailment!!!!! Could someone please help me out on this??????? I will be glad to go to the doctor for more testing if needed but I dont want to waste a bunch of money if nothing is majorly wrong. Thanks for your time........

by HFHSm.D.-Gastro-rf, Dec 19, 1999 12:00AM
Dear Troy, It is difficult to know the cause of your elevated bilirubin without doing additional tests.  However, if all the other liver tests are normal, it is possible that you have a condition called gilbert's disease.  In this condition, which occurs in 5% of the population, there is an isolated increase in bilirubin.  The disease does not progress and is not associated with other liver conditions.



In addition to Gilbert's disease, it is also necessary to consider hemolysis- premature breakdown of the red cells.  This condition can have many different causes.  



If your wife is concerned, a doctors visit with a few blood tests should provide indications whether there is a cause for anxiety.
Member Comments (40)

by tommy, Dec 01, 1999 12:00AM
I am also 34 years old, and just went thru some liver function tests. The first tests I had showed total bilirubin 2.2, my (sgot or ast) was normal but my (sgpt or alt and ggt) was twice what it should be.. Since the sgpt or alt is the main enzimes tied to the liver the doctor ordered an Adominal ultrasound. Results showed possible fatty infiltration of liver. I was kind of concerned because usally alcohol makes both the ast and alt enzimes high, but just the alt was elevated.. Might be a good ideal to have these enzimes checked since something else could be causing the elevated bilirubin.



Best of luck..

by jean, Dec 02, 1999 12:00AM
What kind of symptoms did you have?

by Peter, Dec 02, 1999 12:00AM
I also have elevated bilirubin - a condition called Gilbert's syndrome.  Apparently if everything else checks out normal you have nothing to worry about.  I have had this for years (I am only 38) and continue to live a very active life running, paddling, biking etc.  Good luck with it.

by Troy, Dec 03, 1999 12:00AM
I had a couple of doctors look at my test results and they both agreed, I have Gilberts syndrome. They assured me I had nothing to worry about since this doesn't cause any problems and quiet a few people are walking around with Gilberts syndrome and don't know it.

by Colleen, Dec 10, 1999 12:00AM
The same thing happened to me... I went for a community health

fair blood test a few months after having a baby and found that

I had an elivated bili ruben, about the same as yours.  Funny

thing is that my baby was born with a VERY high bili ruben that

required a 4-day hospital stay in an incubator under 5 sets of

lights to bring down to a safe range.  I told my OBGYN about it

and he didn't seem to be all that worried.  He did refer me to a

Gastro-doctor who diagnosed me with Gilberts Syndrome - although

he never did any tests to confirm it.  He basically said that it

was probably just normal for me and no big deal.  I have always

wondered if there is any relationship between that high bili

ruben and the gastro-problems that I have (irritable bowel, heart

burn - acid reflux, gas, etc.)  Did you ever get a response to

your question posted here?

by Judy Briggs, Dec 18, 1999 12:00AM
I also have a high bilirubin count, unfortunately, I have been experiencing bouts of extreme fatigue.  when the fatigue comes over me, my arms and legs begin to tingle.  I wondered if this had anything to do with the high bilirubin?

by Troy, Dec 19, 1999 12:00AM
Thanks Doc!

by Teresa, Feb 04, 2000 12:00AM
My 63 year old dad had a blood work done and his liver function test was normal except for his bilirubin which was 2.7. His cholesterol is great. He also feel fine. What could be the cause?

by Gloria, Feb 24, 2000 12:00AM
I'm dumb.  What is Gilbert's Syndrone/Disease and is it dangerous?  My husband just got some blood work back from the doctor and that's what the doc is diagnosing.  Hubby is a pilot and I'm concerned that this could knock him out of his flying career.  I've never heard of this and need help.



Thanks in advance.

by duke, Feb 29, 2000 12:00AM
my daughter was has gilberts'. Is there any medications that she shouldnt take?

by Beth, Mar 14, 2000 12:00AM
I HAVE A TOTAL BILIRUBIN LEVEL OF 1.9 AND EVERY THING ELSE IS NORMAL. I HAD BLOOD TEST DONE FOR AN INSURANCE POLICY. SHOULD I HAVE MORE TEST DONE.

by Michelle Polome, Mar 27, 2000 12:00AM
Hello,



I would like to ask something, I have just gone for full blood test and the results came back normal.  I was a bit worried as my Platelets level was slightly low 111 and my Bilirublin level was very slightly high 2.1 , is this something to be concerned about, I have been on the Dinette for 7 years could that be why my level was high. I am also not yellow or suffer from pain in my stomach or anything.  My Dr. recommend I go for a Sona of the Pelvis.  Is this necessary as my level was only very slightly raised.   I really feel that this is not necessary.





I also take Garlic tables and imagine that is why my Platelets level is low. I thought was good as I would rather have thick blood then thick blood.  I don’t smoke or drink and there is no liver disease in my family. I dont drink i dont smoke i am not overweight.





by Kevin De Los Santos, Apr 03, 2000 12:00AM
Dear sir,

I am twenty two yeras old and I was diagnosed with gilberts syndrome 7 years ago. My last blood test should that my level of bilirubin was 88.  I have talked to many people who have gilberts, but they normally have 44, 46 50 bilirubin.  The reason

I am writing is because I have constant pain somewhere underneath my rib cage.  I am just wondering what this could be and if you know if there are any ways of lowering my bilirubin level.  Thanx.

by clay, Apr 26, 2000 12:00