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Getting abdominal pain. Blood test showed elevated bilirubin level. Worried for liver problem

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General Surgeon
Practicing since : 2008
Answered : 5345 Questions
Good Afternoon Doctor. I went to the emergency room with abdominal pain and they did blood tests. The total bili count was 1.9 and the direct count was 0.3. Just wondering if this is a really high count indicating serious liver problem. The cat scan showed nothing and they felt the pain was coming from gastritis. Am in Florida and wonder if I should go home to Canada right away. Doctor said it was slightly up but the norm for total is 0.2 to 1.0. What other details do you require.
Thank you for any light you can put on this test result.
Posted Sun, 5 May 2013 in Liver and Gall Bladder
Answered by Dr. Grzegorz Stanko 17 minutes later

Thank you for the query.

You definitely have jaundice. 1.9 bilirubin level should force your doctor to find the reason of it. Are you sure direct bilirubin were 0,3, not indirect?
Abdominal pain and elevated bilirubin level usually is caused by bile ducts obstruction due to stones. It sounds more possible as you have had gallstones in gallbladder. In such case the stool should become whiter and urine darker.
CT is not a good test for its diagnostics as stones are invisible for this test.
You should have liver tests (AST,ALT,GGTP,AP), amylase, urine amylase, urine analysis and abdominal ultrasound first. If nothing will be found, smear blood test, HbS-Ag, Anti-HCV seems also advisable (however pain is not characteristic for hemolysis or liver viral infection).

Hope this will help. Feel free to ask further questions.
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