What Does An Increase In Bilirubin Level Indicate?

Posted on Tue, 22 Sep 2015

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

Tue, 22 Sep 2015 Answered on

Tue, 13 Oct 2015 Last reviewed on

Question : I have jaundice SGPT ALT is 1340 & Total Bilrubin is near 2.9 in 1st Report but in 2nd Report My SGPT ALT fall to 568 but Total Bilrubbin is increase to 10.4, is there any problem?

Answered by Dr. Amit Jain (59 minutes later)

Brief Answer:
Its a normal course of acute viral hepatitis

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Such an increase in sgpt suggest that it is acute viral hepatitis. I will suggest few tests like IgM anti HAV antibody, IgM anti HEV antibody, HBsag and Prothrombin time. This is a normal course of acute viral hepatitis so need not to worry. It will resolve. Keep in touch with your doctor. Take normal diet. Don't do any restriction in diet. Take rest too. spontaneously. I hope I have answered your query and this will help you. Wish you a good health. If you have further query I will like to answer that too.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Amit Jain (7 hours later)

My Problem is increase in Total Bilrubin in 2nd Report from 2.9 (2.5 & 0.4) to 10.4 (9.04 & 1.35).

Can u Please provide your contact no. that i can whats my reports to u.

Thanks & Reply
XXXX

Also Please suggest me Diet What to eat & what not to eat.

Answered by Dr. Amit Jain (19 minutes later)

Brief Answer:
Normal diet and bilirubin will also start decreasing with time

Detailed Answer:
Welccome back. This is what I have mentioned earlier that as liver enzymes have started decreasing, bilirubin will also start decreasing in few days. There is nothing to panic, it will take time but will resolve. Diet restriction is never recommended in patients with acute viral hepatitis, one should take normal diet as he was taking before the illness and this I found very useful in my patients too. So eat whatever you like but it should be hygienic and healthy. It is against the policy of HCM to provide number so please forgive me. I am sorry for that. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj