What causes elevated bilirubin levels?
Patient: past year we have increased bilirubin,are currently at the top,to have mild temperat.no doctor still did not work analizs.29 years and 2 children.what this might indicate?thanks.a few years ago i had 4 of pneumonija-one year,now everithing is ok,but 3 years! Doctor: Hi thanks for contacting HCM...Here your detail history has to be taken and accordingly investigated....First rule out chronic hemolytic anemia peripheral smear examination and retic count.If needed electrophoresis done to rule out hemoglobinopathy....Second rule our obstructive jaundice like Gall stone and cholestatsis by USG...As you have mild fever , chronic inflammation to liver can be the cause like chronic hepatitis....For that first viral cause ruled out by viral marker study with ELISA....If needed alpha 1 antitrypsin deficiency and Wilson disease like condition ruled out....So liver biopsy needed if cause not clear....Do your liver enzymes estimation also by sgpt and sgot..And yes if you have habit of alcohol drinking then it can elevate liver enzymes.....Meanwhile take low fat diet...Avoid alcohol.Papaiya, apple like fruits taken more...One tsp licorice with honey taken for chronic hepatitis....Hope your concern solved.Take care.Dr.Parth