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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Level Of Bilirubin?

a 13 year old male is having bilurubin level always 2mg/dl since 2005 and having high unconjugated bilurubin also 2 mg/dl and high alkaline phosphatse with 450 u/l since 2005 always high levels .USG FINDINGS are normal.No any difficulty in routine activities.Hemoglobin is also 12 gm/dl.No family historyof such disease
Tue, 19 Aug 2014
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General & Family Physician,  's  Response
High bilirubin with high alkaline phosphatase level is defiantly a sign of concern. they are high in intrahepatic obstruction or infiltrative disease .please go through more tests for all types of hepatitis B, C or even hepatitis A.Unconjugated bilirubin is broken product of blood so any blood disorder like haemolytic anaemia or any other haemolytic is also needed to be ruled out.Slightly higher alkaline phosphatase is seen in growing chilren as they are also present in growing bone tissue.These all abnormalities can be caused by side effects of drugs even as common as acetaminophen.
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What Causes High Level Of Bilirubin?

High bilirubin with high alkaline phosphatase level is defiantly a sign of concern. they are high in intrahepatic obstruction or infiltrative disease .please go through more tests for all types of hepatitis B, C or even hepatitis A.Unconjugated bilirubin is broken product of blood so any blood disorder like haemolytic anaemia or any other haemolytic is also needed to be ruled out.Slightly higher alkaline phosphatase is seen in growing chilren as they are also present in growing bone tissue.These all abnormalities can be caused by side effects of drugs even as common as acetaminophen.