- Male
- 58 Years
- 29/01/2025
Hey, so I've got some bilirubin levels here, and I'm a bit confused about what they mean. My Bilirubin Total is 1.95, Bilirubin Direct is 0.57, and Bilirubin Indirect is 1.38. I'm not sure if these numbers are something I should be worried about. Could you let me know which type of doctor I should talk to about this?
Answered by 1 Apollo Doctors
Consult with a Gastroenterologist or Hepatologist: This will help determine the underlying cause of your elevated bilirubin levels. Further Testing: The doctor might suggest tests such as liver function tests, ultrasound, or CT scans of the liver and biliary system to investigate the source of the issue. Lifestyle Adjustments: Depending on the cause, your doctor may recommend dietary changes, avoiding alcohol, or medication. If you experience symptoms such as yellowing of the skin or eyes (jaundice), dark urine, abdominal pain, or fatigue, be sure to mention these when you consult your doctor.
Dr. Mubarak Suggests...
Consult a Gastroenterology/gi Medicine Specialist
Answered 04/07/2025
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Understanding Bilirubin Levels
- Bilirubin Overview
- Bilirubin is a byproduct of red blood cell breakdown.
- Total bilirubin: 1.95 mg/dL, Direct: 0.57 mg/dL, Indirect: 1.38 mg/dL.
- Normal total bilirubin is typically up to 1.2 mg/dL; your levels are slightly elevated.
Possible Causes of Elevated Bilirubin
- Common Causes
- Gilbert's syndrome, liver function issues, bile duct obstruction.
- Consider symptoms and other lab results for a complete picture.
When to Seek Medical Advice
- Signs to Watch
- Jaundice, fatigue, abdominal pain.
- Follow-up testing is crucial if levels remain high.
Specialist Consultation
- Recommended Specialist
- Consult a gastroenterologist or hepatologist.
- They specialize in liver and biliary conditions.
Next Steps and Diagnostic Tests
- Further Testing
- Consider liver function tests, ultrasound, or imaging studies.
- Discuss results and symptoms with your doctor for personalized care.
Recommended next steps
Consult a Gastroenterology/gi Medicine Specialist or Consult a Hepatologist
Answered 20/08/2025
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View allI've been having some trouble understanding my recent test results. My total bilirubin level has been over 1.5 and my SGOTSGPT levels above 50 since September 2015. I've had all sorts of tests done at MIOT, but everything came back negative. The doctors haven't figured out why it's like this yet, and they're suggesting continued follow-up. I'm just really concerned and would appreciate any advice on what might be going on.
Udiliv 300 for Altered Liver Enzymes _Safety and Efficacy_ 1. _Udiliv 300_: Contains ursodeoxycholic acid (UDCA), which helps stabilize liver cell membranes and promote bile flow. 2. _Short-term use_: Generally safe and effective for short-term use (up to 6-12 months) in patients with mild liver enzyme elevations. 3. _Long-term use_: Long-term safety and efficacy data are limited. Potential risks include: - Hepatotoxicity (rare) - Increased risk of liver cancer (theoretical) _Precautions and Monitoring_ 1. _Regular liver function tests (LFTs)_: Monitor LFTs (SGOT, SGPT, and bilirubin) every 3-6 months to assess treatment efficacy and potential hepatotoxicity. 2. _Dose adjustment_: Adjust the dose or discontinue Udiliv 300 if LFTs worsen or if you experience adverse effects. 3. _Liver ultrasound or imaging_: Consider periodic liver ultrasound or imaging studies to monitor liver health. _Alternative Options_ 1. _Consult a gastroenterologist or hepatologist_: Discuss alternative treatment options and long-term management strategies with a specialist. 2. _Lifestyle modifications_: Implement lifestyle changes, such as: - Maintaining a healthy weight - Exercising regularly - Eating a balanced diet - Avoiding hepatotoxic substances (e.g., excessive alcohol) _In Conclusion_ While Udiliv 300 can be used for short-term management of altered liver enzymes, long-term use requires careful monitoring and consideration of alternative options. Consult a specialist to determine the best course of treatment for your specific situation.
Answered by 1 Apollo Doctors
I've been dealing with navel displacement for a while now. It's causing me a lot of gastric heaviness and my stomach always feels bloated. Is there any way to fix this for good? Plus, I'm having trouble with not completely evacuating. What should I do?
Navel displacement can lead to gastric issues and bloating. To help with this condition, you can try taking Simethicone (Gas-X) for bloating and Gas Relief. For incomplete evacuation, you can try a stool softener like Docusate Sodium (Colace) to help with bowel movements. Additionally, incorporating fiber supplements like Metamucil can also aid in improving bowel regularity. Remember to stay hydrated and maintain a healthy diet rich in fruits and vegetables.
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I'm having a real struggle with gas. No matter what I eat, it just keeps forming, and it's got me so frustrated. I went on a diet to try to manage it, but now my blood pressure's tanked, and I'm feeling this intense pain on the left side of my chest. It's making it hard for me to breathe. I'm feeling pretty worried about all of this. Can you help me figure out what's going on and what I should do?
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Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.