Recently I Have Annual Health Check Up Done At My

Posted on Mon, 13 May 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 13 May 2019 Answered on

Last reviewed on

Question : Recently I have annual health check up done at my office.The reading corresponding to liver reports are as follows:
Bilirubin Total - 1.8
Bilirubin Direct - 0.3
AST - 21
ALT - 15

Please let me know if I should be concerned about any of these.

Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)

Brief Answer:
?Gilbert Syndrome

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

You have a mildly elevated total bilirubin with indirect component (1.5) more than direct component (0.3) and normal liver enzyme levels.
This could be due to a condition called XXXXXXX Syndrome. This is a harmless condition and does not require any active intervention.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.P.Ratnakar Kini (48 hours later)

My previous year total bilirubin/direct readings are 0.5/0.1. What I read about XXXXXXX Syndrome is that it's a mild genetic disorder. So it should have shown these levels before too or is my understanding is wrong?

Also, what I avoid and what should I eat to keep these levels checked or any medication to follow?

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for getting back to me with more questions.
In XXXXXXX Syndrome, the bilirubin levels keep fluctuating and can touch the baseline too.
You can confirm the diagnosis by genetic testing.

For XXXXXXX Syndrome, no active intervention is needed.
Dehydration, infection and fasting increase the bilirubin levels in this condition and should be treated accordingly.
Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar