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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue And Abdominal Pain While Having High Bilirubin Levels?

Hello I went for medical just few days back, Pathologist said your bilirubin is high and platelet count is decreased. So I asked Doctor about which bilirubin, He said indirect bilirubin increases but total and direct bilirubin are normal. So again I went for USG for further more confirmation,USG indicates everything normal even liver also. As clinically I dont have any symptoms like fatigue,pallor,fever,abdominal pain,abnormal digestion,nothing. So, what could be the cause for increaesing bilirubin???
posted on Sun, 2 Oct 2016
Twitter Mon, 24 Oct 2016 Answered on
Twitter Tue, 25 Oct 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello dear
I understand your concern
Total bilirubin = indirect + direct bilirubin
So if any of the bilirubin will increase, total will also increase.
So I think there is some miscommunication between you and your doctor.
Indirect bilirubin will increase in the following condition:
Hemolytic anemia, destruction of the RBC, bleeding in the skin and blood.
So i advise you to go for other blood tests like haptoglobin, LDH, full liver profile, haemoglobin, CBC etc to rule out the other condition.
Hope this may help you

Contact HCM for further health query
Best regards
Dr. Sagar
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What Causes Fatigue And Abdominal Pain While Having High Bilirubin Levels?

Hello dear I understand your concern Total bilirubin = indirect + direct bilirubin So if any of the bilirubin will increase, total will also increase. So I think there is some miscommunication between you and your doctor. Indirect bilirubin will increase in the following condition: Hemolytic anemia, destruction of the RBC, bleeding in the skin and blood. So i advise you to go for other blood tests like haptoglobin, LDH, full liver profile, haemoglobin, CBC etc to rule out the other condition. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar