What is the main reason for increased bilirubin? Is Liver problem or Blood issue

1. 60

   Viral Prajapatiposted 6 years ago

   What is the main reason for increased bilirubin? Is Liver problem or Blood issue?
   
   Last 2 months My husband suffering from jaundice, his bilirubin is high,it's 13 and all liver test are normal.. Doctor said it's take a time for decrease bilirubin and liver is normal.. But I am confused because when liver is not normal condition then increase the bilirubin,but my husband all liver test is normal..So what's the problem..
   
   Please kindly request to give me answer as soon as possible..

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2. 81

   Aelbarshaposted 6 years ago

   Bilirubin is of two types: Direct and Indirect.
   A high direct bilirubin is usually indicative of liver disease or bile duct disease. In this case , other liver tests are abnormal ( although not always).
   While , a raise in indirect bilirubin is usually a result of red blood cell breakdown ( i.e. a blood disease). Other liver tests are generally normal.
   If both direct and indirect bilirubin are raised, then a liver disease is most probable.
   This is only generally speaking. To decide whether, raised bilirubin is caused by liver disease or not, this depends on the whole panel of  medical history, examination, blood tests, and  imaging.

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      MichelleHRNposted 6 years agoin reply to this

      Can liver 'dis-ease' be a result of s/p gallbladder removal and common duct blockage?

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   2. 81

      Aelbarshaposted 6 years agoin reply to this

      Common bile duct obstruction may result when the duct is traumatized during surgical removal of the gallbladder. This is uncommon and it can result in raised direct bilirubin and some other liver enzymes. But , although these liver tests.

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   3. 55

      Virali Ramraviposted 6 years agoin reply to this

      Thank you so much for your wonderful answer.. I easily understand your answer and said that I think this is indirect bilirubin find because both liver and bile duct disease test are normal..My husband have also itching skin problem last 2 months..

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   4. 60

      Viral Prajapatiposted 6 years agoin reply to this

      Thanks for sharing,also tell u one thing after increase bilirubin,his have itching skin problem,so it's definitely liver problem or not??

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3. 53

   MichelleHRNposted 6 years ago

   Does he have his gallbladder? Status post gallbladder removal up to ten years can create other issues with the biliary tree.

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   1. 81

      Aelbarshaposted 6 years agoin reply to this

      That's correct. Although this is nit primarily a liver disease, despite liver tests are raised.

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   2. 60

      Viral Prajapatiposted 6 years agoin reply to this

      yes,he have gallbladder..

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