I've been dealing with some bilirubin level issues and it's got me a bit worried. So, around 40 days ago, my bilirubin was at 2.27 and my doctor put me on Udiliv 300mg for 10 days. Thankfully, all the HAV, HCV, and HBs tests came back negative. After a week of the meds, my levels dropped to 1.4, which was great. I kept taking the meds till September 8th and followed a strict diet. But when I checked again on September 18th, the bilirubin jumped back up to 2.6, even though everything else like SGOT, SGPT, protein levels were fine. Then, on October 4th, it increased again to 2.83. I'm really puzzled about what's causing this. Could you shed some light on why my bilirubin keeps rising like this?

Dr Shubham Chauhan

General Practitioner

• MBBS
• 4+ Yrs

Consult Now

The cause of the fluctuating bilirubin levels despite taking Udiliv 300mg and following a strict diet could be due to various reasons. It is important to consider factors such as medication adherence, underlying liver conditions, diet, lifestyle habits, and other possible causes of elevated bilirubin levels. It is good that your SGOT, SGPT, and protein levels are normal, indicating that there may not be significant liver damage. However, the rising bilirubin levels suggest ongoing liver stress or dysfunction. One possible reason for the increase in bilirubin levels could be a recurrence of the underlying liver condition that was initially treated with Udiliv. It is also important to consider other liver function tests, imaging studies, and possibly a liver biopsy to further evaluate the cause of the elevated bilirubin levels. In this case, it would be advisable to follow up with your doctor for a comprehensive evaluation and further management.

Answered 04/07/2025