Hi, I recently had more depression and went into insomnia,


Q: Hi,
I recently had more depression and went into insomnia, i consulted a doctor and he adviced me for a blood test. The result the below remarks. Please advise is there anything serious.

Bilirubin Direct - 7.5 (umol/L)
Bilirubin Total - 27.6 (umol/L)

Symptoms:  Lack of sleep

A:   Hello,
Thanks for writing to us.
I have read your question and can understand your concern.
The levels of direct and total bilirubin seems to be on higher side of normal range and slightly elevated.
The normal range for bilirubin is 2-22 umol/L while that for direct/conjugated bilirubin is less than 7 umol/L.
Though levels are elevated but they are still not that high enough to manifest clinical jaundice which is seen with bilirubin >35umol/L.
Elevated bilirubin may occur due to alcohol/other substance use disorder
If there is no history of substance(alcohol) use, elevated bilirubin may be part of syndromes like Gilbert syndrome characterised by insomnia,depression, mood swings, anxiety etc. In such cases bilirubin is reduced with help of phenobarbital.

Hope this helps.
Feel free to write back.


Related Q&A

Q: I lost my medication en route to a remote island in the Bahamas. I am gone for one week. I was on 10 mg of Paxil. I...

Q: I forgot to bring my prescription medication- an antidepressant on my trip to the Bahamas. The drug is an SSRI calle...

Q: I started taking fluoxetine yesterday, I took 40ng yesterday and 20 today but forgot to check about things like Niqui...

Q: Hi, I am really struggling, I feel like I have become completely alone, because a new psychiatrist I saw has diagnose...

Q: Hi.. So I been extemely sick from stopping Celexa 40 mg cold turkey. I started to get exteme panic attack which send ...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon