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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Elevated Bilirubin Level And Low Lymphocyte Level Indicate?

Hi Doctor, I have slightly elevated bilirubin levels (Bilirubin-Total by Diazo metho : 1.4 of which Bilirubin-Direct: 0.2 and Bilirubin-Indirect- Serum: 1.2). Also, i have low lymphocytes(18.0 as against normal range of 20.0 to 50.0 %). What could this be an indication of?
Tue, 29 Mar 2016
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General & Family Physician 's  Response
Hi thanks for asking question.

Your lymphocytes are only very slightly depleted .Need not much concern.

Your bilirubin mild high with increase indirect bilirubin.

Here first rule out hemolytic jaundice .
For it estimate serum LDH , Retic count and peripheral smear study ..If hemoglobinopathy suspected in smear electrophoresis can be done.

Secondly rule out fatty liver by USG as it can elevate liver enzyme and bilirubin.

If you have alcohol habit then also such finding can occur.

Meanwhile if you develop anorexia , muscle ache, joint pain , headache with fever viral marker done to rule out viral hepatitis.

I hope your concern is solved regarding cause for increase bilirubin.

Take care....

Dr.Parth Goswami
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What Does Elevated Bilirubin Level And Low Lymphocyte Level Indicate?

Hi thanks for asking question. Your lymphocytes are only very slightly depleted .Need not much concern. Your bilirubin mild high with increase indirect bilirubin. Here first rule out hemolytic jaundice . For it estimate serum LDH , Retic count and peripheral smear study ..If hemoglobinopathy suspected in smear electrophoresis can be done. Secondly rule out fatty liver by USG as it can elevate liver enzyme and bilirubin. If you have alcohol habit then also such finding can occur. Meanwhile if you develop anorexia , muscle ache, joint pain , headache with fever viral marker done to rule out viral hepatitis. I hope your concern is solved regarding cause for increase bilirubin. Take care.... Dr.Parth Goswami