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What Causes Gilbert's Syndrome?
Question: Hello. An elevated b12 of 1093 and bilirubin is 1.3. Should i be concerned
Brief Answer:
Not necessarily
Detailed Answer:
Hello,
slightly elevated bilirubin is unlikely to be a reason for concern. Most of the times it can be attributed to Gilbert's syndrome (which is a benign condition) or a chronic hemolytic anemia (like the hereditary types - thalassemia trait etc). Elevated vitamin B12 can be caused by various conditions like leukemia, chronic obstructive pulmonary disease, renal failure, diabetes, liver disease, obesity, polycythemia vera, congestive heart failure, etc
Exogenous B12 administration is another common cause.
I hope I've helped!
Contact me again, if you'd like more information.
Kind Regards!
Not necessarily
Detailed Answer:
Hello,
slightly elevated bilirubin is unlikely to be a reason for concern. Most of the times it can be attributed to Gilbert's syndrome (which is a benign condition) or a chronic hemolytic anemia (like the hereditary types - thalassemia trait etc). Elevated vitamin B12 can be caused by various conditions like leukemia, chronic obstructive pulmonary disease, renal failure, diabetes, liver disease, obesity, polycythemia vera, congestive heart failure, etc
Exogenous B12 administration is another common cause.
I hope I've helped!
Contact me again, if you'd like more information.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Should i follow up with a specialist. My pcp didnt say anything. All my other levels were with in normal range
Brief Answer:
If everything else is normal then you can't do anything more
Detailed Answer:
Hi,
abnormal findings need to be adequately interpreted. For example, if you don't have signs (laboratory or clinical) of any liver disease then benign explanations for your bilirubin can be safely adopted.
Regarding B12, if you don't have any clinical examination findings (like an enlarged spleen or swollen lymph nodes) and no other laboratory findings then you can't do anything more. Your doctor should consider potential causes and give a proper explanation.
If nothing can be found, then this is all you can do.
Kind Regards!
If everything else is normal then you can't do anything more
Detailed Answer:
Hi,
abnormal findings need to be adequately interpreted. For example, if you don't have signs (laboratory or clinical) of any liver disease then benign explanations for your bilirubin can be safely adopted.
Regarding B12, if you don't have any clinical examination findings (like an enlarged spleen or swollen lymph nodes) and no other laboratory findings then you can't do anything more. Your doctor should consider potential causes and give a proper explanation.
If nothing can be found, then this is all you can do.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have had a lot of gastro problems and always tired. I made an appt. with my gastro. My pcp didnt ask me much. I think its time to find a new pcp
Brief Answer:
I can't advise you about that
Detailed Answer:
I can't criticize your PCP... gastrointestinal problems and tiredness is not a specific description, so I can't comment on that either.
If you'd like to provide a more detailed list of your problems then perhaps I could find a connection with the laboratory findings. Upload the full report would help me even more.
Kind Regards!
I can't advise you about that
Detailed Answer:
I can't criticize your PCP... gastrointestinal problems and tiredness is not a specific description, so I can't comment on that either.
If you'd like to provide a more detailed list of your problems then perhaps I could find a connection with the laboratory findings. Upload the full report would help me even more.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Pain in my lower back. I have had kidbey stones in the past. Ibs symtoms. Fatigued and dark circles under eyes and pale skin
Brief Answer:
No obvious connection with elevated B12
Detailed Answer:
I can't find any obvious link with the B12 result, particularly if the rest of the lab tests were normal. Clinical examination could reveal clues though, like the ones I mentioned in previous answers. Depending on clinical examination data, other tests could be employed like ultrasound scans or computed tomography to detect internal organ abnormalities.
Kind Regards!
No obvious connection with elevated B12
Detailed Answer:
I can't find any obvious link with the B12 result, particularly if the rest of the lab tests were normal. Clinical examination could reveal clues though, like the ones I mentioned in previous answers. Depending on clinical examination data, other tests could be employed like ultrasound scans or computed tomography to detect internal organ abnormalities.
Kind Regards!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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