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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hyper Bilirubinemia. Have High ALT, AST, Bilirubin And LDI Content. Serious Liver Disease?

Hi, 10 years ago I was diagnosed with Hyper Bilirubinemia. All my other enzyme level were normal until several months. Now I got High ALT ,AST,LDi including the high level of bilirubin. I have never had hepatitis and I am not a smoker or drink alcohol. tbi = 37.4 (normal values: 0 - 17) sometimes it goes over 70. dbi = 6.4 (0 - 5.0) LDI = 292 (100-190) ALT = 89 (30-65) (used to be 117 in the previous blood test ) AST = 39 (15-37) (used to be 54 in the previous blood test) My MCHC were also high 400 (310 - 355), but PCT low 0.001 (0.002 - 0.005) Could you please tell me if it is some serious liver disease like cancer?
Sat, 16 Feb 2013
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Oncologist, Radiation,  's  Response
Hi,
hyperbilirubinemia for 10 years without any symptoms goes more in favor of any syndrome related with bilirubin conjugation difficulties, as your unconjugated bllirubin is high. Ldl content is also high. There is a chance of any lipid storage disorders also. you should have undergone an abdominal imaging, if any abnormality then tissue diagnosis may be obtained. consult your internal medicine specialist.
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Diagnosed With Hyper Bilirubinemia. Have High ALT, AST, Bilirubin And LDI Content. Serious Liver Disease?

Hi, hyperbilirubinemia for 10 years without any symptoms goes more in favor of any syndrome related with bilirubin conjugation difficulties, as your unconjugated bllirubin is high. Ldl content is also high. There is a chance of any lipid storage disorders also. you should have undergone an abdominal imaging, if any abnormality then tissue diagnosis may be obtained. consult your internal medicine specialist.