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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bilirubin To Increase After Recovering From Jaundice?

hi my cousin had jaundice 7 months back and now again his eyes became yellow colour. his blood was tested and showed sgpt 20 U/L bilirubin total 3.7 mg/dl bilirubin direct 1.6 mg/dl bilirubin has increased. why is it increasing like this? is that normal?
Sat, 31 Jan 2015
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Pain Medicine & Palliative Care Specialist,  's  Response
Hi there,
Thanks for using HCM.
Only his bilirubin levels are high. And also the indirect component is more than direct component. The liver enzyme SGPT is normal. I presume the other liver enzymes are normal too.
This can occur in two situations - Gilbert syndrome and increased destruction of red blood cells.
Gilbert syndrome is a harmless condition and does not need any treatment. During dehydration and fasting the bilirubin level will fluctuate.

If it is due to increased destruction of red blood cells, it can be confirmed with checking hemoglobin, peripheral smear and a reticulocyte count.

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What Causes Bilirubin To Increase After Recovering From Jaundice?

Hi there, Thanks for using HCM. Only his bilirubin levels are high. And also the indirect component is more than direct component. The liver enzyme SGPT is normal. I presume the other liver enzymes are normal too. This can occur in two situations - Gilbert syndrome and increased destruction of red blood cells. Gilbert syndrome is a harmless condition and does not need any treatment. During dehydration and fasting the bilirubin level will fluctuate. If it is due to increased destruction of red blood cells, it can be confirmed with checking hemoglobin, peripheral smear and a reticulocyte count. Is this answer helpful?