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What Does Total Bilirubin Of 1.50mg/dl And Direct Bilirubin Of .30 Indicate?

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Posted on Mon, 30 Jun 2014
Question: dear sir i have total bilirubin 1.50mg/dl and direct bilirubin 0.30, indirect bilirubin 1.20 what is the risk factor. kindly tell me all other alt, ast are normal range only
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Answered by Dr. Indu Kumar (53 minutes later)
Brief Answer: XXXXXXX disease or hemolysis should be ruled out

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

You have slightly elevated total and indirect bilirubin level.You need few more investigations like routine hemogram,haptoglobin,lactate dehydrogenase (LDH) level,presence of reticulocytosis,urine RE/ME,Lipid profile,viral markers,Ultrasound of abdomen.Further investigations can be done if needed.

It is important to rule out XXXXXXX disease or hemolysis XXXXXXX syndrome is seen in about 5% of the general population and causes only mild hyperbilirubinemia (mildly elevated bilirubin level with normal liver enzymes) and without symptoms. It is not associated with liver disease.

Gilbert's syndrome usually does not need any treatment.

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

Take Care
Dr.Indu XXXXXXX
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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What Does Total Bilirubin Of 1.50mg/dl And Direct Bilirubin Of .30 Indicate?

Brief Answer: XXXXXXX disease or hemolysis should be ruled out Detailed Answer: Hello XXXX Thanks for writing to HCM You have slightly elevated total and indirect bilirubin level.You need few more investigations like routine hemogram,haptoglobin,lactate dehydrogenase (LDH) level,presence of reticulocytosis,urine RE/ME,Lipid profile,viral markers,Ultrasound of abdomen.Further investigations can be done if needed. It is important to rule out XXXXXXX disease or hemolysis XXXXXXX syndrome is seen in about 5% of the general population and causes only mild hyperbilirubinemia (mildly elevated bilirubin level with normal liver enzymes) and without symptoms. It is not associated with liver disease. Gilbert's syndrome usually does not need any treatment. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX