apollo
  • male
  • 30 Years
  • 29/01/2025

I recently had my bilirubin levels checked, and I'm a bit worried because my total bilirubin is at 2.5. My direct bilirubin seems fine, but it's my indirect bilirubin that's high at 2.2. Everything else like ALT, AST, alkaline phosphatase, total protein, albumin, globulin, and the AG ratio is normal. I had jaundice about four months ago, and I'm wondering if this could be related. What could be causing this high indirect bilirubin, and is there anything I can do to bring it down? Would really appreciate some advice.

Doctor 1

Answered by 1 Apollo Doctors

consult general physician

Dr. Shubham Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 25/07/2025

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I've been a bit worried since I recently had some blood work done. My total bilirubin was 1.77, so I took Livopill for 10 days, and my repeated test showed total bilirubin at 1.62, with DB at 0.63 and IDB at 0.99. The other results were total protein 7.6, serum albumin 4.9, globulin 2.7, AG ratio 1.8, SGOT 24, SGPT 25, alkaline phosphatase 92, GGTP 12, and my HBsAg was 0.24. Now, I've been told to take Ensules Plus for a month, but I feel this discomfort or pain just below my right rib. Should I be thinking about taking any other medication or is the pain something to worry about? Feeling a bit unsure about all this.

Your liver function tests show mild bilirubin elevation and normal liver enzymes, and the HbsAg result suggests you're not infected with hepatitis B; considering your symptoms and test results, consult your doctor about adding a liver protective supplement like silymarin or ursodeoxycholic acid to Ensules Plus, and for the rib pain, consider adding an antacid or acid reducer like omeprazole or ranitidine to alleviate discomfort, but only under medical guidance.

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