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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for high bilirubin and normal ALT levels

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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 1956 Questions

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Posted on Wed, 8 Mar 2017 in Liver and Gall Bladder
Question: i have high bilirubin levels (29.24 umol/L) but normal ALT and AST levels (14 u/l and 17 u/l). What tests should I be doing next to see what is causing the high bilirubin levels? I also have high MCV levels in my blood count (98). Everything else pretty normal. Many thanks.
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Answered by Dr. Ramesh Kumar 30 minutes later
Brief Answer:
Subclinical jaundice,No clinical significance.

Detailed Answer:
Hi
Thanks for choosing HCM for your query.
As you bilirubin level is high folowing tests can be done prophylactically.
Ultrasound abdomen.
serum direct and indirect bilirubin
stool routine and microscopy.
Hepatitis B antigen(HBsag),HCV,HAV serology.
However bilirubin levels less then 51nu moles/l are clinically insignificant.
Thanks!

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