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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Bilirubin Direct-0.3 And Indirect-1.3 Suggest?

Direct 0.3 ( normal .02 and below) Indirect 1.3 ( normal 1.2 and below) Total 1.6?( normal 1.2 and below) All other liver tests came back in normal range. Also all other blood tests came back perfect . Should I be worried? I just had another private test done today
Mon, 2 Feb 2015
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Pain Medicine & Palliative Care Specialist,  's  Response
Hi there,
Thanks for using HCM.
This mild increase in bilirubin is not significant and may not indicate anything serious. So you need not worry about it.
If there is fluctuation of the bilirubin levels with normal liver enzyme levels, then the likely cause is Gilbert Syndrome which again is a harmless condition and does not require any treatment.
Sometimes increased destruction of the red blood cells can cause similar picture. Hemoglobin level, a peripheral blood smear picture and a reticulocyte count may be done to see if destruction of red blood cells is the cause.

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What Does Bilirubin Direct-0.3 And Indirect-1.3 Suggest?

Hi there, Thanks for using HCM. This mild increase in bilirubin is not significant and may not indicate anything serious. So you need not worry about it. If there is fluctuation of the bilirubin levels with normal liver enzyme levels, then the likely cause is Gilbert Syndrome which again is a harmless condition and does not require any treatment. Sometimes increased destruction of the red blood cells can cause similar picture. Hemoglobin level, a peripheral blood smear picture and a reticulocyte count may be done to see if destruction of red blood cells is the cause. Is this answer helpful?