How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Saha Your Own Question

Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15460
Experience:  30 years of experience
8227957
Type Your Health Question Here...
Dr. Saha is online now
A new question is answered every 9 seconds

Good Afternoon, I received the results of my blood lab work

Resolved Question:

Good Afternoon,

I received the results of my blood lab work this morning, and a couple of results have me worried. I am anxious about my health in general, so any "odd" values can drive me through the roof.

Below are my values:

Bilirubin, Direct - .3 mg/dl (Normal)
Bilirubin, Indirect - 1.2 mg/dl (High)
Bilirubin, Total - 1.5 mg/dl (High)

Alk Phos - 50 (Normal Range)
AST - 19 (Normal Range)
ALT - 15 (Normal Range)

Results from one year ago:

Bilirubin, Direct - .2 mg/dl (Normal)
Bilirubin, Indirect - .8 mg/dl (Normal)
Bilirubin, Total - 1.1 mg/dl (High)

Alk Phos - 47 (Normal Range)
AST - 18 (Normal Range)
ALT - 24 (Normal Range)

My questions regard the elevated indirect Biliburin and the AST/ALT Ratio. My doctor suggested that the indirect Biliburin could be related to Gilbert's Syndrome, or gallstones. He didn't mention anything about the liver. My other question regards XXXXX XXXXX ratio. The current results show that it is greater than one but less than two, which could suggest cirrhosis. My doctor did not mention anything about these values.

What would other causes of indirect biliburin be? How concerned should I be with the AST/ALT ratio?
Submitted: 12 months ago.
Category: Health
Expert:  Dr. Saha replied 12 months ago.
Hello,

Thank you for your question,

I’m Dr. Saha and I’ll try to help you.

Why did you have the tests?

Do you have any symptom or past illness?

Customer: replied 12 months ago.

The test was part of my yearly physical. No specific symptoms or past illness, at least nothing that I have seen my physician for.

Expert:  Dr. Saha replied 12 months ago.
Thank you Louis for the information,

Besides those causes mentioned by your doctor, hemolysis of blood cells or breakdown of red blood cells can cause high indirect bilirubin count.

But your level is mildly raised & often not worrying & there should be other findings in red cell count/ structure or shape.

As the AST & ALT levels are within normal, you need not to worry about the change of ratio.

I hope this information helps.

I will be happy to assist, if you need any clarification.

Please feel free for any follow up query.

Best wishes.
Customer: replied 12 months ago.

Many thanks. None of my blood counts were off, and it sounds like I need not worry about the other values, as they are normal. I have a follow-up with my physician in a month, and until then will try not to worry.


 


Thanks Again,

Expert:  Dr. Saha replied 12 months ago.

You are always welcome.

As the other levels are normal, please do not worry about them.

If you are satisfied, please leave an excellent rating.

Good luck.
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15460
Experience: 30 years of experience
Dr. Saha and 3 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery