What Causes Increased Bilirubin In Blood?

Posted on Sat, 20 Sep 2014

Question: i had a hepatic panel done and the only abnormalities were globulin 1.8 (albumin 4.6 - normal) and a/g radio is 2.6 plus total biliruben was 1.4 is this a case to be concerned over the rest of the heptic panel was normal

Answered by Dr. Indu Kumar (40 minutes later)

Brief Answer:
You need further investigations.

Detailed Answer:
Hello XXXX

Your findings suggests increased bilirubin level and decreased globulin in blood.
Increased bilirubin level may be due to many reasons like hepatitis,autoimmune causes,drug toxicity etc.
If other liver parameters like SGPT,GGT etc are normal then conditions like gilbert's disease etc should be ruled out.
Decreased globulin level may be due to renal cause,hepatic dysfunction,acute hemolytic anemia etc.

Your doctor has rightly advised for further investigations.
Firstly Ultrasound of abdomen should be done.
Besides this routine hemogram,random blood sugar,urine RE/ME,renal function test,lipid profile,viral markers should be done.
CT scan of abdomen can be done if needed.

Proper treatment depend upon findings.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Indu Kumar (16 minutes later)

I was diagnosed with hep b back in Nov it has since been resolved by the Dr. Could these results still be a result of the hep b and the liver still recovering

Answered by Dr. Indu Kumar (7 hours later)

Brief Answer:
Yes,Liver seems to be in recovery stage.

Detailed Answer:
Hello XXXX

Yes,Liver findings seems to be in recovery stage.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Ashwin Bhandari