I'm a bit worried because both my direct bilirubin and total bilirubin levels are high according to my blood tests. I took some medication for about 5 days, and everything seemed normal again. But then I had one beer at a friend's party, and now both bilirubin levels are elevated again. Also, I've been getting a light fever in the evening or at night. What could be causing this, and should I be concerned?

Dr Anshul Maheshwari

General Practitioner

• MBBS
• 5+ Yrs

Consult Now

Elevated direct and total bilirubin levels, which normalized with medication but increased again after consuming alcohol, may indicate liver dysfunction or sensitivity, and the recent onset of low-grade evening fevers could suggest an underlying infection or inflammation; consider consulting a hepatologist or gastroenterologist for a comprehensive evaluation, including liver function tests, imaging studies, and potentially a liver biopsy, to determine the underlying cause and develop an appropriate treatment plan.

Answered 23 days ago