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High bilurubin
Hey i just got my annual blood check done all of them were excellent but my total bilurubin was 1.22
My direct bilurubin was 0.47 indirect was 0.75 sgpt and sgot were in range mid.
I m concerened cause when i did my blood work in 2023 it was all good
Although i had bad stomach upset two days before blood test and i had to visit loo atleast 6-7 times and on the day to blood test my fast exceeded to 13 hrs.
But is my liver a problem do i have fatty liver? My gp gave me golbi 300 for 3 months.
How can i get my liver normal?
Answers (20)
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Hi,
Mildly raised total bilirubin with normal enzymes is quite common and temporary. Recent stomach upset, loose motions, or longer fasting can easily push it up a bit without meaning liver trouble.
Repeat the test after good hydration and normal meals to check.
Feel free to consult for further guidance.
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Nothing to worry
Rpt investigation after 6week
Hydrate urself
For more information contact me on practo
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Free online consultations for age 50 years and older.
Best wishes
www.jgsr-health-education.in
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These results have nothing to worry...
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Hi,
Based on the values you provided:
• Total bilirubin: 1.22 mg/dL
• Direct bilirubin: 0.47 mg/dL
• Indirect bilirubin: 0.75 mg/dL
• SGOT (AST): Within normal range
• SGPT (ALT): Within normal range
These results are generally reassuring. A total bilirubin of 1.22 mg/dL is only minimally above the upper limit used by some laboratories and, by itself, does not necessarily indicate liver disease.
Recent gastrointestinal illness, mild dehydration, prolonged fasting (13+ hours), stress, or benign conditions such as Gilbert Syndrome can cause a temporary increase in bilirubin. Normal AST and ALT values make significant active liver injury less likely.
These bilirubin values alone do not diagnose fatty liver. Fatty liver is typically assessed using imaging such as an abdominal ultrasound and by evaluating risk factors such as obesity, diabetes, high cholesterol, and alcohol intake.
Next Steps
• Repeat liver function tests in 4–8 weeks when you are well hydrated and not recovering from an illness.
• Avoid prolonged fasting before the next test (follow the laboratory's recommended fasting duration only).
• Follow up with your doctor regarding the need for Golbi 300 and any additional evaluation.
Health Tips
.
• Maintain a healthy weight, regular exercise, and a balanced diet
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Your bilirubin levels are only mildly elevated â total 1.22 is barely above normal (normal up to 1.2). Given that you had severe diarrhoea just before the test and fasted for 13 hours, both of which can temporarily elevate bilirubin, this is most likely a transient finding rather than a true liver problem. Your SGPT and SGOT being in range is very reassuring â if you had significant liver disease, these would typically be elevated. Golbi 300 (ursodeoxycholic acid) prescribed by your GP is a liver-protective medicine appropriate for this situation.
Next Steps
Please consult me directly on Practo for a detailed evaluation â repeat the LFT and bilirubin after 4-6 weeks (when fully recovered) to get a true baseline reading.
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Get ultrasound abdomen done and share results. Then I can help you further to heal.
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Kindly do connect and consult with me for better treatment plan and advice on your case
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Liver detoxification
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FATTY LIVER????
U NEED USG ABDOMEN.
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
ADD LOT OF SALAD, PROTEIN, BEETROOT.
TAB OFLOX OZ TWO TIMES A DAY AFTER FOOD FOR FIVE DAYS.
LIV 52 ONE AT NIGHT.
YET U CAN CONSULT SUPERSPECIALIST LIKE GASTROENTEROLOGIST OR LIVER SUPERSPECIALIST.
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Already detailed answers. Its not significant fully.
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Based on the values you provided:
* Total bilirubin: 1.22 mg/dL
* Direct bilirubin: 0.47 mg/dL
* Indirect bilirubin: 0.75 mg/dL
* SGOT (AST): Normal
* SGPT (ALT): Normal
These results are very reassuring and do not suggest significant liver disease.
Is 1.22 mg/dL bilirubin concerning?
Not necessarily.
Most laboratories use an upper limit of around 1.0–1.2 mg/dL for total bilirubin. A value of 1.22 mg/dL is only borderline elevated and can occur temporarily due to:
* Prolonged fasting (your fast was about 13 hours)
* Recent diarrhea or stomach infection
* Mild dehydration
* Stress on the body from an acute illness
* A benign inherited condition called Gilbert syndrome (quite common and harmless)
Does this mean I have fatty liver?
No.
Fatty liver is usually suggested by:
* Elevated ALT/AST (sometimes normal in early fatty liver)
* Ultrasound findings showing fatty infiltration
* Risk factors such as obesity, diabetes, high triglycerides, or excess alcohol intake
A bilirubin of 1.22 mg/dL by itself does not diagnose fatty liver.
Is my liver damaged?
Your normal SGOT and SGPT make significant liver inflammation unlikely.
If there were serious liver injury, we would often expect abnormalities in:
* ALT/SGPT
* AST/SGOT
* Alkaline phosphatase (ALP)
* GGT
* Albumin
* PT/INR
What about the Golbi 300 prescribed by your GP?
Golbi 300 is often prescribed as a liver-supportive medication in patients with mildly abnormal liver parameters. However, based solely on the bilirubin values you’ve shared, there is no clear evidence of significant liver disease.
What should you do now?
1. Stay well hydrated.
2. Avoid excessive alcohol (if you drink).
3. Maintain a healthy weight.
4. Exercise regularly.
5. Repeat Liver Function Tests (LFTs) in about 4–8 weeks when:
* You are completely well
* No recent diarrhea or infection
* Normal hydration
* Standard fasting duration (8–10 hours is usually sufficient)
When should you seek further evaluation?
Consult your doctor sooner if you develop:
* Yellowing of the eyes or skin (jaundice)
* Dark urine
* Pale stools
* Persistent abdominal pain
* Unexplained weight loss
* Persistent nausea or vomiting
Bottom line
A total bilirubin of 1.22 mg/dL with normal SGOT and SGPT is usually not a sign of liver damage, and your recent stomach upset, multiple loose stools, mild dehydration, and prolonged fasting could easily explain this slight elevation. At present, these results do not strongly suggest fatty liver or serious liver disease. A repeat LFT after a few weeks is a reasonable next step.
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Dr. Ajay Kumar
Internal Medicine
9 yrs exp
Ahmedabad
You really dont need to take Tab Golbi 300 for 3 months, whoever prescribe you that medicine is some jholachaap doctor. Dont take any unnecessary medicines,
just get a USG Abdomen done and followup with report.
You can consult me or any MD Medicine doctor but please just stay away from these kind of JHOLACHAAP doctor.
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Dr. S K Wadhwa
Gynecologist
47 yrs exp
Lucknow
I don't think you need treatment for your Serum bilirubin level.
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Dr. Vibhore Awasthy
General Physician
29 yrs exp
Faridabad
If your other enzymes are normal you need not worry. Repeat after 3 months
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Adapt blend diet
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Bland diet helps
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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