Hi and welcome to HCM. It might spike, dut not such high. This is severe elevated bilirubin
and it should be evaluated especailly in such young people. It can be caused by liver disease in most cases but also some blood disorders as well.
He recommended ultrasound
because without it we cant find out the degree of liver damage
. After that you ll know is this just fatty liver
or there are signs of fibrosis. ALso it can be caused by biliary duct obstruction and gallbladder
issue. All in all you dont need to worry, this is something treatable and reversible. YOu cant have cirrhosis or malignancy. It can be alcoohlic damage,autoimmune or caused by drugs and dietary. Whatever it is it will be found and you ll know further tratment,
WIsh you good health.