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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Direct And Total Bilirubin To Elevate In Blood?

I am 42 yrs old Male. About 80 kgs, 5 ft. 9.5 inches height, athletic body. Have been having cholesterol between 210-250 since last 10 years..with elevated LDL and Triglycerides. Also elevated both direct and total bilirubin in blood serum tests. LFT Enzymes normal, KFT test results normal. Fasting sugar which was usually around 90 since last 10 years, rose to 105 recently. PP levels are normal -115 or so. Have slight pain around the liver sometimes, which subsides after sleep or applying warm pack. Kindly advise what tests to do to ascertain cause of these elevations. Or advise treatment. Thanks
Mon, 21 Jul 2014
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Internal Medicine Specialist 's  Response
Hi

Elevated Cholesterol , Triglycerides , LDL could be due to Hereditary factors , Physical inactivity , High fat diet .

High Bilirubin with normal Liver enzymes indicates some Hemolysis ( Rupture of blood cells ) . I advise you to get these tests to confirm diagnosis.

Serum LDH , Serum Haptoglobin . Revert back with report .

You can start using Rosuvastatin 10mg every night for your cholesterol .
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What Causes Direct And Total Bilirubin To Elevate In Blood?

Hi Elevated Cholesterol , Triglycerides , LDL could be due to Hereditary factors , Physical inactivity , High fat diet . High Bilirubin with normal Liver enzymes indicates some Hemolysis ( Rupture of blood cells ) . I advise you to get these tests to confirm diagnosis. Serum LDH , Serum Haptoglobin . Revert back with report . You can start using Rosuvastatin 10mg every night for your cholesterol .