- Male
- 31 Years
- 29/01/2025
I've just found out that my bilirubin levels, including total, direct, and indirect, are all high, and my homocysteine levels are elevated too. Should I be worried about this, and what could it mean for my health? What steps should I take, or what lifestyle changes might help manage these levels better?
Answered by 1 Apollo Doctors
Bilirubin count total, direct, indirect are high. Homocysteine level is high. High bilirubin levels can indicate liver or bile duct issues. You can take Ursodiol 300mg to help lower bilirubin levels. For high homocysteine levels, you can take Folic Acid 1mg along with Vitamin B6 25mg and Vitamin B12 1000mcg to help lower homocysteine levels. Make sure to follow the dosage instructions provided on the medication packaging.
Dr. Mubarak Suggests...
Consult a Gastroenterology/gi Medicine Specialist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
I've been dealing with some bilirubin level issues and it's got me a bit worried. So, around 40 days ago, my bilirubin was at 2.27 and my doctor put me on Udiliv 300mg for 10 days. Thankfully, all the HAV, HCV, and HBs tests came back negative. After a week of the meds, my levels dropped to 1.4, which was great. I kept taking the meds till September 8th and followed a strict diet. But when I checked again on September 18th, the bilirubin jumped back up to 2.6, even though everything else like SGOT, SGPT, protein levels were fine. Then, on October 4th, it increased again to 2.83. I'm really puzzled about what's causing this. Could you shed some light on why my bilirubin keeps rising like this?
The cause of the fluctuating bilirubin levels despite taking Udiliv 300mg and following a strict diet could be due to various reasons. It is important to consider factors such as medication adherence, underlying liver conditions, diet, lifestyle habits, and other possible causes of elevated bilirubin levels. It is good that your SGOT, SGPT, and protein levels are normal, indicating that there may not be significant liver damage. However, the rising bilirubin levels suggest ongoing liver stress or dysfunction. One possible reason for the increase in bilirubin levels could be a recurrence of the underlying liver condition that was initially treated with Udiliv. It is also important to consider other liver function tests, imaging studies, and possibly a liver biopsy to further evaluate the cause of the elevated bilirubin levels. In this case, it would be advisable to follow up with your doctor for a comprehensive evaluation and further management.
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I'm wondering if having a bowel movement 3 or 4 times a day is something I should be worried about. Could this be a sign of a stomach problem, or is this totally normal?
Passing stool 3 to 4 times a day can be normal for some people, especially if the stools are well-formed and you're not experiencing any discomfort or other symptoms like bloating, pain, or diarrhea. However, if you notice any changes in consistency, color, or feel unwell, its a good idea to consult with a healthcare provider to rule out any underlying issues.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.





