Concerns About Elevated Bilirubin
Hello everyone, I wanted to reach out regarding my recent blood test results. I am 32 years old, stand at 5 feet 10 inches, and identify as male. Currently, I am not taking any medications. The blood test indicated that my bilirubin levels are at 31, which exceeds the normal limits in the UK, and this shows an increase from 26 recorded in October. Should I be worried about this? To give some context, I used to binge drink from ages 18 to 28. However, I’ve reduced my alcohol intake significantly over the past few years, usually around 10 drinks per week at most, although I realize that this is still on the higher side. I apologize for the format of my results, but I am seeking guidance on what these levels could mean. My doctors haven’t raised any concerns, but I would appreciate some reassurance regarding my situation. Here are my lab results: - Liver Function Tests (X77WP) - Serum Globulin Level: 20 g/L [Reference: 21 - 35] – below the low reference limit - Serum Alkaline Phosphatase: 78 IU/L [Reference: 30 - 130] - Serum Alanine Aminotransferase: 23 IU/L [Reference: < 45] - Bilirubin (measured using the Abbott Alinity method) shows a new generation assay implemented on 10/06/25, which displays mixed bias characteristics: a mean negative bias of 7% when levels are <50 umol/L, and a mean positive bias of 3% when levels are >50 umol/L. Please consider this in monitoring. - Serum Bilirubin Level: 31 umol/L [Reference: < 21] – above the high reference limit - Total Protein Level: 71 g/L [Reference: 60 - 80] - Serum Albumin Level: 51 g/L [Reference: 35 - 50] – above the high reference limit Thank you for your insights!
Answers (1)
7/17/2025, 2:50:42 PM
OpenHealth AI
Elevated bilirubin levels can indicate various underlying conditions that may require investigation, but since your doctors haven't expressed concern, it suggests they may not find it alarming at this time. Bilirubin levels above normal can result from liver issues, bile duct problems, or hemolysis, among other causes. It's important to address your specific situation and previous alcohol use for better context.
Explanation
Bilirubin is a yellow pigment produced during the breakdown of red blood cells, and your current level of 31 umol/L is indeed higher than the normal reference limit. The increase from your previous level of 26 could signify a developing issue that may need monitoring. The other liver function tests you’ve shared appear mostly within normal ranges, with your serum globulin being slightly low and albumin being slightly high, which can provide additional clues on liver function but aren't definitive on their own.
Next Steps
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Monitor Symptoms: Keep track of any symptoms like jaundice (yellowing of skin or eyes), dark urine, light-colored stools, fatigue, or abdominal pain. If you experience any of these, they should be discussed with your healthcare provider urgently.
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Evaluate Alcohol Intake: While you've reduced your alcohol consumption, aim to limit it further or discuss with a healthcare professional about achieving low-risk drinking. Consider abstaining completely for a period to see if your bilirubin levels improve.
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Re-Test Bilirubin Levels: Schedule a follow-up blood test in a few months to monitor your bilirubin level again. Consistent monitoring is vital for understanding any changes.
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Maintain a Healthy Lifestyle: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, while avoiding fatty or processed foods. Regular exercise can also help improve liver health.
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Consider a Specialist: If your bilirubin continues to rise or you start experiencing symptoms, see a gastroenterologist or hepatologist who specializes in liver health for further evaluation.
Remember, it’s important to stay informed about your health and keep an open line of communication with your healthcare team. If you have further questions or need clarification on any aspect, feel free to ask!
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