sometimes chronic hepatitis b can have a similar picture........

if hepatitis negative......other causes are too rare to consider....

Hepatitis Bs Antigen = Non-Reactive



Thanks for your time!

i did my blood test too, doctor said my total bilirubin is high.
In the end i took a ultrasound, everything looks normal.
and doctor told me not too worry too much. Just eat healthy and live healthy.

ya, my doctor give me same explanations as yours doctor gave. 'red blood is breaking too fast, indirectly high metabolism rate.'

yeah same answer. I think should be a common problem.
Unless you want to see a specialist.

from reading the thread, i assume both users slimey and Ramjade are healthcare personals. They pretty much point out the common stuff.
Common cause would be infection especially if its comes on suddenly. Viral Hepatitis is always as possibility despite normal LFT values.
Negative Hbs antigen does not exclude Heb B as a good immune system can suppressed the virus well. This test cannot detect other Hepatitis viruses.

I think the info u ve informed so far are scattered.
If its ok ill need to ask,
Has this yellowish discoloration happen before.
Do u have any health problems.
Do u have frequent pain anywhere?
Does any of ur family has similar problems.


Jaundice is a symptom, just like shortness of breath. shouldnt generalized them.

high metabolism rate will it cause weight loss? my blood test result show high bilirubin too, last year 2017 jan total bilirubin is 28, the oct 2017 is 24...btw i found my eye got yellow, not whole eye yellowish, and sometimes i feel nausea and no appetide, i got weight loss as well, few years b4 my weight is 65kg, 2016 december 61kg, 2017 december 57kg, is it still normal...which test should i do? thanks in advance

Hi guys, I am bumping up this thread because I am having high Bilirubin value too after I took a blood test healthcare centre.

Total Bilirubin: 1.4v mg/dl or 23.9v umol/L (standard: 0.2-1.2mg/dL or 2.4-20.5 umol/L)

SGOT/AST: 23 U/L (standard: 5-34)
SGPT/ALT: 17 U/L (standard: 5-34)

I am a skinny guy who is underweight 2 years ago and at the borderline of "normal" today.
I am having high Cholesterol level too. The value is 218 which is reduced after I started to exercise, workout and food control for the past 1 year.
I don't smoke and don't take alcohol all the while.
Generally I don't feel anything wrong, symptom or pain for liver area.
MY hepatitis antigen no longer reactive.

Doctor advise me to go for scanning but I didn't manage to ask what kind of scan is that. What type of scanning I should take?
I believe it is better to do it at hospital, correct me if I am wrong.

Can you recommend me some good hospital to do the scanning? from expensive to budget cost. I will sort them out.
Please provide more inputs to me if you have any experience. Thank you in advance.

Calling slimey Ramjade for help

This post has been edited by Holyjolly: Jan 8 2019, 10:53 AM

Aiyoyo.

Why lah all these routine blood test results not explained clearly by the doctors who ordered them for their patients. And then nonchalantly advise 'scanning', whatever that means.

Typical.

In the event of what I can only
ASSUME to be an asymptomatic patient history with an
ASSUMED no KNOWN family history of related conditions to a sustained bilirubinaemia or other conditions affecting/presenting in the liver function tests,
an ASSUMED FIRST TIME result of 23.9v umol/L is hardly "high".
And yeah, the cholesterol level is not high, its actually borderline high.

In terms of 'scanning', the most likely that was recommended is an abdominal ultrasound scan, and generally they'll be looking at the bile duct, and looking for gallstones in the gallbladder. Which even if found, depending on number and size and general gastroenterologist judgement (how many is too many, how big is too big from an ultrasound image no less), only notification and observation (and patient-learning) is most preferred in the context of an asymptomatic patient.

I won’t bother with such a blood test result.

consult an internist: medical specialist.

Through history need to be taken to conclude a diagnosis.

I would suggest for you to consult a private internist(should cost RM 50-250/consultation): if you have money. Once you have a working diagnosis: they could refer you to government hospital for further management(i.e. surgery is indicated).

If you have fever and abdominal pain at any point: go to Emergency Department directly.

Maybe is my bad for not asking clearly what type of scanning is. He got issue a referral letter but just tick the area need to be scan.
If trace back my medical checkup report, it is increasing across the years.
2014: 0.9 mg/dl or 15.5v umol/L
2016: 1.1 mg/dl or 18.8v umol/L
2018: 1.4 mg/dl or 23.9v umol/L

abdominal ultrasound scan would be sufficient and less intrusive i think. If I do it in government hospital, do I need to queque very long? I should refer to gastroenterology specialist?

Hmm, perhaps I give it a check when free.

Hmm, what should be the division name? gastroenterology specialist?


This post has been edited by Holyjolly: Feb 23 2019, 03:57 PM