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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated Biliruben, RBC Size Large, No Other Symptoms

W have had elevated biliruben my entire adult lift. I have also recently been told that the size of my re blood cells are very large. And, I once had elevated liver enzymes which were fully tested with no definitive results. I exercise, eat right and do not drink except maybe for a special occassion. All tests, including liver biopsy , ERCP , extensive blood work which were all negative. My question is, could these large macro red blood cells be responsible? Don t want to miss a possible lurking disease , but tired of all the testing. By the way I have no symptoms, except I do require 9-10 hours sleep each night. Thoughts?????
posted on Sun, 25 Mar 2012
Twitter Wed, 26 Mar 2014 Answered on
Twitter Wed, 26 Mar 2014 Last reviewed on
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Internal Medicine Specialist 's  Response
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.

Deranged liver functions needs to be co related.
I would advise you to please share the reports with us.
By saying Large RBC size i feel you mean to say raised MCV, that might be because of megaloblastic anemia.

Asymptomatic Indirect Hyperbilirunbenimia can be due to "Gilbert syndrome"
Share your all reports with me, i will help you my best.

This is my best for you based on available details.
If you have any further query, please ask me.
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Elevated Biliruben, RBC Size Large, No Other Symptoms

Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. Deranged liver functions needs to be co related. I would advise you to please share the reports with us. By saying Large RBC size i feel you mean to say raised MCV, that might be because of megaloblastic anemia. Asymptomatic Indirect Hyperbilirunbenimia can be due to Gilbert syndrome Share your all reports with me, i will help you my best. This is my best for you based on available details. If you have any further query, please ask me.