What should I do if my total bilirubin is high? 30

Total gallbladder elevated. Elevated total bilirubin is common in:

1) Liver diseases: acute jaundice hepatitis, acute yellow liver necrosis, chronic active hepatitis, liver cirrhosis, etc.

2) Extrahepatic diseases: hemolytic jaundice, blood transfusion reaction due to blood group incompatibility, cholecystitis, cholelithiasis, etc.;

3) Seen in toxic or viral hepatitis, hemolytic jaundice, pernicious anemia, paroxysmal hemoglobinuria. Polycythemia, neonatal jaundice, internal bleeding, post-transfusion hemolytic jaundice, acute xanthotic liver atrophy.

Indirect bilirubin is elevated.

1. Hemolytic jaundice. Due to some hemolytic diseases, red blood cells can be destroyed excessively, resulting in an increase in indirect bilirubin in the blood;

2. Hepatocellular jaundice. When hepatocytes are diseased, bilirubin cannot be converted into bile normally, and because the hepatocytes are swollen, the bile ducts in the liver are compressed, and the excretion of bile is blocked, so that the bilirubin in the blood increases.

3. Blood transfusion errors. Blood transfusions that do not match blood types can cause hemolysis, which destroys a large number of red blood cells and causes a large amount of indirect bilirubin to be released into the blood.

4. Reborn infant jaundice. It is mainly due to the incompatibility of mother and child blood group or congenital biliary malformation of reborn children, etc., which is caused by the increase of indirect bilirubin in the blood.

Direct bilirubin elevated.

1. Obstructive jaundice. It is mainly caused by biliary obstruction (e.g., cholelithiasis, liver cancer, pancreatic head cancer).

2. Cause excessive destruction of hepatocytes, such as acute and chronic hepatitis, hepatocellular jaundice, liver cirrhosis, etc.

The anomalies in the test sheet are:

1. Bilirubin.

Total bilirubin. Mildly elevated.

Direct bilirubin.

Slight elevation. Indirect bilirubin.

Mildly elevated. The above is mild jaundice, with both direct and indirect bilirubin increases, but indirect bilirubin is the main elevation.

Possible causes: 1. Test factors: such as hemoconcentration (drinking less water and sweating more before the examination), causing the relative increase in value; or hemolysis on test mark, causing an indirect increase in bilirubin.

2. Pathological causes are mainly excluded:

1. Fatty liver, hepatitis or cirrhosis, etc.;

2. Alcohol or certain drugs cause an increase in bilirubin.

3. Exclude the possibility of hemolytic disease.

Until the cause is unknown, drugs are not needed**, and it is recommended to repeat the bilirubin test, and if it is still high, the cause should be further investigated.

Blood sugar. If the diagnosis of diabetes is exceeded, if there are diabetes-related symptoms, diabetes can be diagnosed, if there are no symptoms, it can be re-examined, if it is still high, diabetes should be diagnosed, or glucose tolerance test should be done directly to confirm the diagnosis.

**: Mainly non-drug such as diet control, proper exercise, weight control, etc., when dietary control is not ideal. Low-dose hypoglycemic drugs may be given**.

Hello! The normal value of total bilirubin (Tbili) is 60 80, bilirubin is the product of the breakdown and destruction of senescent red blood cells in the blood, and when liver cells are damaged, such as hepatitis, direct and indirect bilirubin will be significantly increased. It is recommended to go to your regular liver disease hospital for a liver disease examination to confirm the cause of high bilirubin before proceeding**.