Bilirubin

[Bazile]

Is a serum bilirubin level of 28 umol/L a cause for concern / dangerous ?

[Sqad]

It certainly is a cause of concern, but whether or not it is dangerous depends upon the cause.
Is that level in a baby, child or adult?

[Bazile]

adult

What is the normal range ?

[Sqad]

Between about 3-20 mmols/litre.

[slaney]

Bazile - is this the same person as the last time you asked?
See related questions below.

[Bazile]

slaney

Yes
i did have a look at the post below , but it wasn't clear if what was advised ,was saying that the level at that time was high .

A subsequent test has been done and the results are as follows -

Liver Function Test

Serum albumin - 41g/L

Serum bilirubin level - 28 umol/L

Serum alkaline phosphatase - 71 U/L

Serum ALT level 16 U/L

[slaney]

I think the advice was to discuss with your GP who has access to all your results.
If liver disease can be excluded by liver function tests and/or scans, and your blood tests do not show any sign of haemolytic anaemia (breaking down of red blood cells) then the most likely cause of a borderline high bilirubin would be something like Gilbert's syndrome...

http://www.nhs.uk/conditions/Gilbertssyndrome/Pages/Introduction.aspx

Those liver function tests look normal.

[Bazile]

Thanks

//Those liver function tests look normal.//

Just to clarify - do you mean - apart from the Bilirubin ?

[slaney]

Yes - apart from the bilirubin.
Has this been discussed with GP?

[Bazile]

//Has this been discussed with GP?//

As i recall ,it has been mentioned following previous number of tests in the past , but the GP has never said to me that it needed investigating further .
I'll ask to have it investigated further .

[Bazile]

While i've got your attention , could i please have your opinion on these figures for kidney function

( i think they are all for kidney function - is that correct )

1. Urea and electrolytes
Serum urea level - 4.6 mmol/L
Serum sodium - 144 mmol/L


2. GFR calculated abbreviatd MDRD

Serum creatinine - 108 umol/L
GFR calculated abbreviatd MDRD 75 mL/min/1.73m2

[slaney]

Your GP may or may not want to investigate - he/she may have information already to decide whether this is necessary. If the bilirubin level was 41 last year and 28 now it's not going up which is reassuring. It's worth asking though.

The kidney function figures look all right, the GFR is age dependent - it reduces as we get older.
An average 20 year old might have a GFR of 120 ml/min, an average 70 year old would have a GFR of 70 ml/min. In practice any thing above 60 ml/min is considered to be OK.

[Bazile]

thanks