Bilirubin, Gastroenterology and Hepatology FAQ - Page 2

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Understanding Elevated Total and Direct Bilirubin Levels: What to Do Next?

Total bilirubin, direct bilirubin in red text? Hello Doctor, I had a blood test this week, and the results showed total bilirubin at 1.52 mg/dL (reference range 0.1-1.2), direct bilirubin at 0.66 mg/dL (reference range ≤0.3), while the other values such as A/G ratio, sGOT, sGPT, ...


Dr. Chen Shidian Reply:
It is mostly a matter of genetic predisposition; regular blood tests each year are sufficient for monitoring.

[Read More] Understanding Elevated Total and Direct Bilirubin Levels: What to Do Next?


Understanding Liver Cirrhosis and Biliary Issues: Treatment Options

Cirrhosis and bile issues? Hello, Director: I have been undergoing blood tests for monitoring at the Hepatobiliary and Gastroenterology Department of a hospital in Zhongli for a long time. A few years ago, my GGT level was found to be over 300, and the doctor has been prescribing...


Dr. Lin Minghui Reply:
Hello, a 54-year-old male has a medical history indicating that he has liver cirrhosis, which is attributed to chronic hepatitis. The causes of cirrhosis can include viral hepatitis such as hepatitis B and C, alcoholic liver disease, autoimmune conditions, cardiac issues, biliary...

[Read More] Understanding Liver Cirrhosis and Biliary Issues: Treatment Options


Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis

Discomfort in the right upper abdomen has been evaluated? I have been experiencing a persistent sensation of heat in the upper right abdomen (similar to the feeling of having a pain relief patch applied) for several months. It is not painful, but it is distinctly uncomfortable in...


Dr. Cai Anshun Reply:
Hello: Generally, the examinations that can diagnose abdominal diseases have been completed. You can consult a gastroenterologist for medication adjustments. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Persistent Upper Right Abdominal Discomfort: Next Steps for Diagnosis


Severe Upper Abdominal Pain at Night: Could Gallstones Be the Cause?

Experiencing upper abdominal pain for two consecutive nights that wakes you up, leading to a visit to the emergency room? Hello Doctor, a few days ago I experienced severe upper abdominal pain for two consecutive nights, waking up from the pain in my sleep. I initially thought it...


Dr. Chen Shidian Reply:
It is still possible that the gallstone is temporarily lodged. If the pain occurs again, you can go to the emergency department for an ultrasound to confirm. The medication is not very effective, but surgery can be considered based on the situation and is not urgently needed at t...

[Read More] Severe Upper Abdominal Pain at Night: Could Gallstones Be the Cause?


Understanding Elevated Bilirubin Levels with Normal Liver Function

Liver function is normal, but bilirubin levels are elevated? Hello Doctor, my health check report shows normal liver function, with total bilirubin at 1.4 (normal range 0.3–1.0) and direct bilirubin at 0.3 (normal range 0.03–0.18). I have a history of anemia and would like to kno...


Dr. Cai Jinji Reply:
Hello Ms. User: A total bilirubin level of 1.4 can have many causes and may be related to anemia. I'm not sure what type of anemia you have. It would be advisable to consult a hematologist first. Director Cai Jin-ji from the Department of Hepatobiliary and Gastroenterology a...

[Read More] Understanding Elevated Bilirubin Levels with Normal Liver Function


Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps

Abnormal total bilirubin levels The child has been approximately 2 years old since birth and has consistently had elevated total bilirubin and direct bilirubin levels. These levels have been gradually decreasing, but recent tests in May showed an increase in total bilirubin/direc...


Dr. Lin Minghui Reply:
Hello, the child has had abnormal total bilirubin levels since birth, primarily with elevated direct bilirubin, and is now about 2 years old. In adults, elevated direct bilirubin levels can occur. Imaging studies have ruled out obstructive diseases. The causes of elevated direct ...

[Read More] Understanding Elevated Total Bilirubin in Young Children: Causes and Next Steps


Does Cancer Treatment Drug Cause Elevated Liver Enzymes?

Does cancer treatment medication cause elevated liver enzymes? Hello Doctor, my father was diagnosed with rectal cancer two years ago and underwent surgery, recovering well. However, during a routine check-up two months ago, a recurrence was found, but the original treating physi...


Dr. Chen Shidian Reply:
I have never used Esomeprazole capsules and my condition is complicated, so please discuss it further with my attending physician.

[Read More] Does Cancer Treatment Drug Cause Elevated Liver Enzymes?


Understanding Liver Tumors: Treatment Options for Advanced Cases

Liver tumor issues? Hello Dr. Chen, my father has liver cancer with a 9 cm liver tumor and a bilirubin level of 2.4. He has been experiencing shortness of breath recently, and the doctor mentioned pleural effusion. The doctor also said that since the bilirubin level has not dropp...


Dr. Chen Shidian Reply:
In principle, jaundice should decrease to reduce side effects. In a few cases, medication may be used based on individual circumstances (out-of-pocket). Please discuss with the attending team.

[Read More] Understanding Liver Tumors: Treatment Options for Advanced Cases


Understanding Carotenemia: Symptoms, Causes, and Dietary Recommendations

Carotenemia I would like to consult a physician. I am experiencing noticeable carotenemia (waxen yellow skin, with significant yellowing of the palms and soles), but my sclerae are not yellow, and my liver function is normal (only bilirubin and direct bilirubin are slightly eleva...


Dr. Chen Shidian Reply:
Please confirm with the attending physician.

[Read More] Understanding Carotenemia: Symptoms, Causes, and Dietary Recommendations


Understanding Mediterranean Anemia: Impact on Health Check Results

Regarding health check-ups and thalassemia? I have mild thalassemia, but I do not have any noticeable symptoms and live like an average person. I usually sleep 6 to 8 hours and exercise regularly. I do not smoke, drink alcohol, chew betel nut, or consume coffee; I only drink wate...


Dr. Chen Shidian Reply:
A mild increase should not be a concern; just monitor it.

[Read More] Understanding Mediterranean Anemia: Impact on Health Check Results


Does Mediterranean Anemia Cause Abnormal Total and Direct Bilirubin Levels?

Does Mediterranean anemia cause abnormalities in total bilirubin and direct bilirubin levels? My recent health check report came out, showing total bilirubin: 1.63 (0.3~1) mg/dL and direct bilirubin: 0.29 (0.03~0.18) mg/dL. Could you please tell me which part of my body might be ...


Dr. Chen Shidian Reply:
It is only a mild increase, related to individual constitution, and can be monitored.

[Read More] Does Mediterranean Anemia Cause Abnormal Total and Direct Bilirubin Levels?


Is My Elevated Direct Bilirubin Due to Anemia or Liver Issues?

Could you please tell me if I really have a liver problem, or is it caused by anemia? This year during my health check-up, my direct bilirubin level was slightly elevated at 0.40 mg/dL, but all other liver function tests were normal. However, there were abnormalities in my blood ...


Dr. Chen Shidian Reply:
Just need to check the cause of mild anemia.

[Read More] Is My Elevated Direct Bilirubin Due to Anemia or Liver Issues?


Do Gallstones and Cholecystitis Always Require Gallbladder Removal?

Is gallbladder removal necessary for gallstones accompanied by cholecystitis? Two weeks ago, I experienced pain on the right side of my abdomen and went to the emergency room. Blood tests showed abnormalities: CRP: 162, Total Bilirubin: 1.5, Segmented Neutrophils: 80, Lymphocytes...


Dr. Chen Shidian Reply:
Cholecystectomy is still recommended; please discuss any related issues with your attending physician.

[Read More] Do Gallstones and Cholecystitis Always Require Gallbladder Removal?


Understanding Blood Test Results: High Albumin and Its Implications

Blood test report issues? Hello Doctor, I recently had blood and urine tests due to high blood pressure. The day before the tests, I took antibiotics (Pseudomonas-specific tablets) because a previous doctor diagnosed me with "epididymitis." The urine test results show s...


Dr. Chen Shidian Reply:
It should not be necessary; you can discuss it during your follow-up appointment after finishing the medication.

[Read More] Understanding Blood Test Results: High Albumin and Its Implications


Understanding Abnormal Liver Function Tests: When to Seek Urgent Care

Liver function index exceeds one thousand? Hello, Doctor: I am a carrier of hepatitis B and have mild fatty liver and gallstones. My long-term follow-up indices have been normal until the past two years, when they started fluctuating. The most recent test on January 5 showed AST ...


Dr. Chen Shidian Reply:
You may schedule an earlier follow-up appointment to discuss.

[Read More] Understanding Abnormal Liver Function Tests: When to Seek Urgent Care


Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered

Inquiry and consultation? Hello Doctor: I had a liver ultrasound today. I have been associated with the hepatobiliary and gastroenterology department since many years ago due to elevated liver enzymes. In my younger days, I often stayed up late and had a penchant for sweet foods ...


Dr. Lin Minghui Reply:
Hello, fatty liver refers to the accumulation of fat in liver cells, which may sometimes cause fluctuations in liver enzyme levels, but typically involves minimal liver fibrosis. Once it progresses to non-alcoholic steatohepatitis (NASH), the liver may exhibit inflammation or fib...

[Read More] Managing Fatty Liver and Gastrointestinal Issues: Your Questions Answered


Understanding Rising Bilirubin Levels: Causes and Concerns for Liver Health

Bilirubin, total bilirubin is increasingly elevated? Hello, I have mild to moderate fatty liver, so I have been undergoing regular monitoring. In my last three tests, I found that my total bilirubin and direct bilirubin levels have been increasing. In May 2019, my total bilirubin...


Dr. Chen Shidian Reply:
Bilirubin levels are still normal, liver function is slightly elevated, and an ultrasound examination can be performed.

[Read More] Understanding Rising Bilirubin Levels: Causes and Concerns for Liver Health


Is Liver Dialysis Necessary with Elevated Bilirubin but Normal Liver Enzymes?

GOT and GPT levels are normal, but total bilirubin is 18. Is liver cleansing necessary? My father is experiencing multiple organ failure due to an infection, and the doctors have indicated that his liver and kidney issues are the most significant. He is currently undergoing dialy...


Dr. Chen Shidian Reply:
Liver washing or plasma exchange has certain short-term benefits, but there is still controversy regarding its long-term survival rates (hence it may require out-of-pocket expenses). It is advisable to discuss the benefits thoroughly with the attending physician.

[Read More] Is Liver Dialysis Necessary with Elevated Bilirubin but Normal Liver Enzymes?


Understanding Elevated Total Bilirubin Levels: Causes and Treatment Options

Elevated total bilirubin? Hello, doctor. Recently, I had a blood test where my total bilirubin was 1.6 mg/dL (normal range: 0.1-1.2), which is elevated. My direct bilirubin was 0.3 (<0.4), and my cholesterol was slightly high at 210, while the other values including sGOT, sGPT...


Dr. Chen Shidian Reply:
Commonly, due to individual genetics, a slight increase in bilirubin can occur during the metabolism of hemoglobin in red blood cells, which is not harmful to health.

[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Treatment Options


Understanding Fever Symptoms in Acute and Drug-Induced Hepatitis

Drug-induced hepatitis Hello, doctor! I would like to inquire whether acute hepatitis and drug-induced hepatitis commonly present with fever as a symptom. My father recently had regular blood tests at a major hospital's hematology department. Four days before his follow-up a...


Dr. Chen Shidian Reply:
First, a thorough examination of imaging studies and blood cultures should be conducted at the hospital to understand the relationship between the hepatitis and fever.

[Read More] Understanding Fever Symptoms in Acute and Drug-Induced Hepatitis


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