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Suggest Treatment For High Bilirubin And Normal ALT Levels

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Posted on Wed, 8 Mar 2017
Question: i have high bilirubin levels (29.24 umol/L) but normal ALT and AST levels (14 u/l and 17 u/l). What tests should I be doing next to see what is causing the high bilirubin levels? I also have high MCV levels in my blood count (98). Everything else pretty normal. Many thanks.
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Answered by Dr. Ramesh Kumar (30 minutes later)
Brief Answer:
Subclinical jaundice,No clinical significance.

Detailed Answer:
Hi
Thanks for choosing HCM for your query.
As you bilirubin level is high folowing tests can be done prophylactically.
Ultrasound abdomen.
serum direct and indirect bilirubin
stool routine and microscopy.
Hepatitis B antigen(HBsag),HCV,HAV serology.
However bilirubin levels less then 51nu moles/l are clinically insignificant.
Thanks!
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Suggest Treatment For High Bilirubin And Normal ALT Levels

Brief Answer: Subclinical jaundice,No clinical significance. Detailed Answer: Hi Thanks for choosing HCM for your query. As you bilirubin level is high folowing tests can be done prophylactically. Ultrasound abdomen. serum direct and indirect bilirubin stool routine and microscopy. Hepatitis B antigen(HBsag),HCV,HAV serology. However bilirubin levels less then 51nu moles/l are clinically insignificant. Thanks!