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What Does This Liver Profile Test Result Indicate?

Posted on Mon, 28 Sep 2015

Question: Hi. A recent liver test shows high bilirubin of 1.8. These are the other numbers all in normal range? Any advice for what causes the raised bilirubin? Any other tests I should ask for?

ALT 15
AST 18
ALP 45

I had a bad bout of diverticulitis and took flagyll and cipro for 3 weeks in XXXXXXX

I have currently reduced my alcohol intake but prior to getting sick averaged 2 glasses wine daily or 1-2 drinks.

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

I need some more information before I can give my opinion.

1. What are direct and indirect bilirubin levels?
2. What are total protein and albumin levels?

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (59 minutes later)

I cannot seem to find the numbers for direct and indirect.

The albumin is 4.6
The total protein is 7.0

There urine tested negative for bilirubin

Answered by Dr. Dr.P.Ratnakar Kini (22 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
A/G ratio is more than 1. So you do not have any chronic liver disease.
You are having normal liver enzymes.
So this means you have hyperbilirubinemia only.
Without knowing direct and indirect component, it is difficult to say what is causing it as the causes are different.
The most common cause is XXXXXXX syndrome.

The following needs to be done.
1. Direct/indirect bilirubin
2. Reticulocyte count.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Yogesh D