183 Physicians Online


Liver cirrhosis and Bilirubin levels

Dear Ask The Doctor:
In a patient suffering with Cirrohsis, who has came a very long way in the past 5 months i.e. all blood counts seem to be going in the right direction except for the bilirubin which was near 200 when first admitted to hospital the lowest it has dropped to is 47 but for the past few weeks it is slowly rising again. Why would the bilirubin be rsing if everything else seems to be getting better? Your help would be much aprreciated. Thank you


Liver cirrhosis is a chronic condition in which the liver cells get damaged and continue to deteriorate inspite of treatment. The only definitive treatment for the same is liver transplant or correcting the cause which is leading to the cirrhosis which in most cases is impossible .As liver cirrhosis progresses the livers capacity and capability to conjugate the indirect bilirubin and convert it into direct bilirubin which is then excreted by the kidneys decreases progressively. If the causative factor leading to the cirrhosis is not corrected ( for example alcohol intake, hepatitis , gall stones, pancreatic cancer) then the bilirubin will keep rising. I hope this helps answer your query. All the best.

Sign In to join in the conversation.

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman M.D.

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Patrick Golden M.D.

  • Board Certified Cardiologist
  • Founder AskTheDoctor.com
  • Practices in Fresno, CA

Related Answers:

I recently had an ultrasound on my abdomen for pain. Once sentance caught my eye, "Note is made of a focal hypoe...

Hello, I have a question about some liver imaging results. I was diagnosed with fatty liver about a year ago, and hav...

I need a hepatologist w/ experience of Budd Chiari patient. My brohter died and I believe medical malpractice. 42 y/o...

Hi I was a heavy alcohol user and quit and had my Hepatic Labs. ALT-88 AST-100 ALP-58 Bili-.8 Albumin 4.8 I have b...

I have accidentally taken 2500 mg of paracetamol. is it lethal

My father has a SGPT level 125 and SGOT level 95 in LFT test.Initially he was taking medicine for tuberculosis.1 day ...

I have had a mild burning sensation on my left side under my rib cage.Numbness in the area also.Has persisted going o...

Hello I am slightly obese (183cm tall , 110kg) and am 31 years old. I was diagnosed with slightly fatty liver 4 y...

I went to hospital with a miscarriage. The next day I was looking at my blood test and my AST was a 211 and ALT 120. ...

In my biochemistry report, the SGOT (AST) is 98.3 U/L .what does it mean?