
What Do I Do About High Bilirubin Levels In My LFT Report While Having A History Of Stage 1 Fatty Liver And Previous Gastric Issues?

Question: Hi,
I went through some tests after I was facing some gastric problems. I'm attaching all the reports of the same(includes blood, urine, thyroid tests as well). I see high bilirubin levels in my reports of LFT even though I don't have any symptoms of yellow skin/eyes.
About an year ago I underwent sonography where it stated I have stage 1 Fatty liver. I don't have those reports handy. Even during that time I underwent sonography since I was facing gastric issues. But no traces of gall stones or any kidney issues were found. So, I wanted to know what should be my next step?
I went through some tests after I was facing some gastric problems. I'm attaching all the reports of the same(includes blood, urine, thyroid tests as well). I see high bilirubin levels in my reports of LFT even though I don't have any symptoms of yellow skin/eyes.
About an year ago I underwent sonography where it stated I have stage 1 Fatty liver. I don't have those reports handy. Even during that time I underwent sonography since I was facing gastric issues. But no traces of gall stones or any kidney issues were found. So, I wanted to know what should be my next step?
Brief Answer:
Needs evaluation
Detailed Answer:
Hi,
Yes, bilirubin is on the higher side which has to be evaluated well. An increase in indirect bilirubin points at increased production of bilirubin rather than a failure of clearance by the liver. It is very essential to find out the cause of increased production, which is usually secondary to increased death of RBC.
Coombs test is what helps to rule out hemolytic anemia. Please do consult a hematologist who can order the tests and examine to rule out the same.
Hope I answered your query. Please do ask if any doubts.
Regards
Needs evaluation
Detailed Answer:
Hi,
Yes, bilirubin is on the higher side which has to be evaluated well. An increase in indirect bilirubin points at increased production of bilirubin rather than a failure of clearance by the liver. It is very essential to find out the cause of increased production, which is usually secondary to increased death of RBC.
Coombs test is what helps to rule out hemolytic anemia. Please do consult a hematologist who can order the tests and examine to rule out the same.
Hope I answered your query. Please do ask if any doubts.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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