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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes high bilirubin?

I am 51 year old female. Gall bladder removed at 15, lung cancer with upper left lobe removed at 42. My billirubin is 2.41. I have muscle and joint pain and excessive fatigue. I also have rare type of anemia that causes cells to die off prematurely . Lung surgery left me with chronic pain throughout upper left quadrant As a result I am on 10 mg hydro codeine 4 x day and 30 mg er morphine 3 x day. What are possible reasons for high billirubin ?
Tue, 13 Jan 2015
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Internal Medicine Specialist 's  Response

a slight elevation in billirubin levels (indirect billirubin mostly) is consistent with hemolytic anemia (the red cells that die prematurely). Besides that there is nothing in your history that would suggest a different etiology unless you had symptoms, which you haven't mentioned.
2,4mg of total billirubin is nothing to worry about. If you start having symptoms or if the billirubin levels start to elevate then a more detailed investigation would be warranted.

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