My indirect bilirubin is higher than direct bilirubin

[Titusumanta]

Dear sir/ mam,
I am suffering with jaundice from 16th Nov 2013. On 18th Nov 2013 my total bilirubin was 5.8 mg/do and direct was 4.4 and indirect was 1.4 and SGPT was 1920 / SGOT 1880/  AP 440. On 25th Nov my bilirubin was 12.01 and direct was 8.86 and indirect was 3.15. On 5th Dec my total bilirubin was 5.6 and direct bilirubin was 3.97 and indirect was 1.63. On 18th Dec my total bilirubin was 2.6 and direct was 1.3 and indirect was 1.3. But in last test on 30th Dec my total bilirubin is 2.7 goes high by .01 and my direct bilirubin is 0.8 and indirect is 1.9 which is 0.6 higher than last test.

I used to smoke before jaundice and drink alcohol often like 8-10 times a month.

Please tell me is it anything serious that my indirect bilirubin is goes higher than my last test result......


Please suggest as soon as possible.

[Thomas D Schiano, MD]

this is not serious--hemolysis is lysis or breakage of red blood corpuscles.  I still think you have gilbert's

[Titusumanta]

Dear Thomas Sir, is it anything serious.  I m not been able to understand. What is hemolysis? Plz make me understand in laymen language.

[Thomas D Schiano, MD]

the abnormal liver tests associated with hepatitis A can persist for many weeks some times.  rarely hemolysis can also be seen, which could account for indirect hyperbilirubinemia.

[Titusumanta]

Dear Thomas Sir,
I m suffering with hepatitis a. No one in our family is having Gilbert syndrome.  Please suggest.

[Thomas D Schiano, MD]

it seems like something happened and you are now getting better--it couldve been viral hepatitis or due to a medication.  the indirect bilirubin elevation could be due to Gilbert's disease