Understanding Elevated Bilirubin and Cholesterol Levels: Next Steps for Diagnosis
Elevated levels of total bilirubin, direct bilirubin, and total cholesterol? Hello, doctor. I recently completed a health check-up, and the results that exceeded the normal range include total bilirubin at 2.88, direct bilirubin at 0.57, total cholesterol at 246, and urine showin...
Dr. Chen Shidian Reply:
Abnormal values (with normal ultrasound) are likely due to individual constitution and do not pose a long-term health risk; monitoring is sufficient. Cholesterol can be managed through diet and medication. Pain management can be addressed by consulting a pain specialist or a fami...[Read More] Understanding Elevated Bilirubin and Cholesterol Levels: Next Steps for Diagnosis
Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns
Back pain, occasional nausea, and bloating issues? Hello Doctor: Last May, I sought medical attention for gastrointestinal bloating after consuming too much milk. Due to a family history of diabetes (grandfather, mother, and father), the doctor arranged for a colonoscopy, an endo...
Dr. Chen Shidian Reply:
It should not be related to pancreatic cancer; managing with medication and dietary control is sufficient, so there is no need to worry.[Read More] Understanding Digestive Issues: Back Pain, Bloating, and Anxiety Concerns
Should You Rush for a Checkup with Slightly Elevated Total Bilirubin?
Is it necessary to urgently return for a follow-up if the total bilirubin level is 0.01 above the normal range but all other indices are normal? Hello, Director! I have a bit of gallstones and mild fatty liver, with no other liver or gallbladder issues. Therefore, I need to under...
Dr. Chen Shidian Reply:
No problem / No need for a follow-up appointment in the short term.[Read More] Should You Rush for a Checkup with Slightly Elevated Total Bilirubin?
Understanding Blood Test Results: Insights on Liver Health and More
Blood test value inquiry? Hello, doctor. Recently, my family arranged for a blood test at a laboratory, and I have some questions regarding the results. Here are the liver-related values: Total Bilirubin: 1.1, Direct Bilirubin: 0.35, Total Protein: 7.4, Albumin: 5.0, Globulin: 2....
Dr. Chen Shidian Reply:
It is still within an acceptable range; a re-evaluation of the slightly abnormal parts can be done in 3 to 6 months for comparison.[Read More] Understanding Blood Test Results: Insights on Liver Health and More
Understanding Elevated Total and Direct Bilirubin Levels: Causes and Concerns
Elevated total bilirubin and direct bilirubin levels? Hello, doctor. In 2021, I had a health check-up, and at that time, my total bilirubin and direct bilirubin levels were elevated. Three months later, I had another blood test, and those levels were normal. This year, during my ...
Dr. Chen Shidian Reply:
There is no correlation and it does not affect health. If there is no hepatitis B, the principle is to follow the general health check-up guidelines (for those over 40 years old, once every two years).[Read More] Understanding Elevated Total and Direct Bilirubin Levels: Causes and Concerns
Understanding Elevated Total Bilirubin Levels: What You Need to Know
Total bilirubin Hello Doctor: Recently, my health check report showed elevated total bilirubin (T-Bil) at 1.99 mg/dL, elevated direct bilirubin (D-Bil) at 0.58 mg/dL, elevated r-GT at 151 U/L (I do not drink alcohol), and elevated GPT at 79 U/L. I would like to ask the doctor abo...
Dr. Lin Minghui Reply:
Abnormal liver function and mixed hyperbilirubinemia—where the ratio of direct bilirubin to total bilirubin is between 25-50%—may require differential diagnosis including various types of hepatitis (metabolic, drug-induced, alcoholic, viral, autoimmune diseases) and hematological...[Read More] Understanding Elevated Total Bilirubin Levels: What You Need to Know
Understanding Abnormal Health Check Results: Liver and Gastrointestinal Insights
Abnormal health check values? Hello Doctor, I would like to inquire about the abnormal results from my recent health check-up and whether I need to seek further medical attention or how to improve them. Here are the results: Direct bilirubin is elevated at 0.31 mg/dL, and high-de...
Dr. Cai Anshun Reply:
Hello: 1. Direct bilirubin is slightly elevated at 0.31 mg/dL. If the total bilirubin is not elevated, there is no need to worry too much. You may consider following up with a hepatobiliary and gastroenterology specialist. 2. High-density lipoprotein (HDL) cholesterol is low at 3...[Read More] Understanding Abnormal Health Check Results: Liver and Gastrointestinal Insights
Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?
Total bilirubin 1.3? Hello, Dr. Lin! My total bilirubin level is 1.3, which is slightly above the normal value of 1.2, but my GOT level is 14 and GPT level is 8, both of which are normal. Is this related to anemia? My hemoglobin level is 10.6. Thank you for taking the time to res...
Dr. Lin Minghui Reply:
Hello: Elevated total bilirubin can be primarily due to increased direct bilirubin or increased indirect bilirubin. Possible causes of elevated direct bilirubin include liver diseases and hepatobiliary disorders. If the elevation is primarily in indirect bilirubin, it may be due ...[Read More] Understanding Total Bilirubin Levels: Is 1.3 mg/dL a Cause for Concern?
Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Elevated total bilirubin? Hello Dr. Tsai! Recently, I have been experiencing a dull pain in my upper right abdomen, and I'm unsure if it is nerve or muscle pain, so I went to the hospital for an examination. The test results are as follows: Creatinine "1.13" mg/dL,...
Dr. Cai Anshun Reply:
Hello: The total bilirubin level of "1.8" mg/dL is elevated, and the AST level is "46" U/L, which is also elevated, while the ALT level is "29" U/L. This may be related to alcohol and medication (herbal medicine) intake, so it would be advisable to c...[Read More] Understanding Elevated Total Bilirubin Levels: Causes and Concerns
Understanding Your Liver and Gastrointestinal Test Results: What to Know
Continuation of question #187746? Doctor, thank you for your response. I recently had some tests done at the laboratory, and I'm not sure if the blood tests you mentioned were included. Could you please help me check? Thank you. My results are as follows: GOT 15, GPT 19, γ-G...
Dr. Chen Shidian Reply:
I agree with his statement; localized heat therapy can be applied, and attention should be paid to posture while monitoring changes in symptoms.[Read More] Understanding Your Liver and Gastrointestinal Test Results: What to Know
Understanding Elevated Bilirubin Levels: Causes and Solutions
Elevated bilirubin levels? Hello Doctor: I would like to inquire about the issue of elevated bilirubin levels in my recent two health check-ups, with the most recent results showing a significant increase compared to the previous one. In 2020, my total bilirubin was 1.51 mg/dL, d...
Dr. Lin Minghui Reply:
Hello, elevated direct bilirubin along with other liver function indices may indicate liver or biliary tract-related diseases. Your abdominal ultrasound showed no abnormalities, other liver indices are normal, urine bilirubin is negative, and there are no obvious liver or biliary...[Read More] Understanding Elevated Bilirubin Levels: Causes and Solutions
Understanding Normal Gallbladder Ultrasound with Elevated Bilirubin Levels
Abdominal ultrasound shows normal gallbladder? I apologize, but I would like to ask about abdominal ultrasound results. The gallbladder appears normal, but blood tests show total bilirubin (T-Bil) at 1.3 mg/dL and direct bilirubin (D-Bil) at 0.21 mg/dL. Is this considered normal?...
Dr. Chen Shidian Reply:
Normal margins, largely insignificant; it is sufficient to recheck in 3 to 6 months or during the next health examination.[Read More] Understanding Normal Gallbladder Ultrasound with Elevated Bilirubin Levels
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
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?