Is My Bilirubin Level in the Normal Range or Should I Be Worried?

Question

I recently got a routine blood test, and my report showed that my bilirubin levels are slightly above the normal range. The doctor didn’t seem too concerned, but I can’t stop thinking about it. I don’t have any major symptoms, but I do feel tired often and sometimes get mild stomach discomfort. Could this be related to my bilirubin levels?

From what I read, bilirubin normal range is different for total, direct, and indirect bilirubin. My report just mentioned total bilirubin, which is slightly high, but I don’t know if that means I should get more tests done. How do I know if my liver is actually affected? Should I check my bilirubin normal range again in a few weeks, or is one test enough?

I don’t drink alcohol, but my diet hasn’t been great lately—lots of junk food and irregular eating times. Could that affect bilirubin levels? I also had dengue a few months ago, and someone told me that infections can temporarily raise bilirubin. Does that mean it will come back to the normal range on its own?

Are there any natural ways to keep bilirubin in the normal range? I’ve read that Ayurveda recommends herbs like Kutki and Bhumyamalaki for liver health—do they really work? Should I be avoiding certain foods to help my bilirubin normal range stay stable? And at what point should I actually be concerned about liver health?

Dr Sujal Patil · Accepted Answer

Elevated Bilirubin: Causes and What to Do
Common Causes: Mildly high bilirubin can result from diet, dehydration, infections, or minor liver stress. Since you had dengue recently, it’s possible the infection temporarily raised your levels.
Types of Bilirubin: Total bilirubin includes direct (conjugated) and indirect (unconjugated). Your doctor may order further tests if concerned about liver function.
When to Monitor:
Retest in 2-4 weeks to see if levels normalize. If symptoms like yellowing of eyes/skin, dark urine, or persistent fatigue develop, seek medical advice.
Natural Support for Liver Health:
Herbs:
Kutki (Picrorhiza kurroa) and Bhumyamalaki: Support liver function and may help lower bilirubin naturally.
Turmeric: Anti-inflammatory and protects the liver.
Diet Tips:
Avoid fatty/junk food, alcohol, and processed sugars.
Eat more leafy greens, beets, carrots, and citrus fruits to promote liver detox.
Stay hydrated to support bile flow.
Lifestyle:
Regular meals and proper sleep can help regulate liver function.
Light exercise can also improve liver metabolism.
When to Be Concerned:
If bilirubin remains high or other liver function markers (ALT, AST, ALP) are elevated, further tests (ultrasound or imaging) may be needed.

Dr. Harsha Joy · Answer

A slight elevation in total bilirubin can sometimes be related to temporary factors like a past infection, such as dengue, which can cause a mild increase in bilirubin levels. Since you don't have major symptoms, it's possible that this is not a significant concern, but it’s still good to monitor it. Diet, especially consuming junk food and irregular eating habits, can affect liver function and bilirubin levels, so improving your diet with more whole foods, hydration, and regular meals may help. In Ayurveda, herbs like Kutki and Bhumyamalaki are traditionally used to support liver health and detoxification, and they may help maintain bilirubin within a normal range. However, it’s important to check your bilirubin levels over time to ensure they return to normal, especially after an infection. If you continue to feel fatigued or notice worsening symptoms, a follow-up test or consultation with your doctor would be advisable. Always listen to your body and avoid excessive fatty or processed foods, as they can further burden the liver.

Is My Bilirubin Level in the Normal Range or Should I Be Worried? - #14570

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