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Liver & Pancreas Disorders Message Board

Liver & Pancreas Disorders Board Index

hi dave. believe me, i can understand your concern here with your bili being high(what exactly IS your bili number and what is that labs particular referrence ranges? the 'norm' ranges should be listed ON the lab sheet to the far R usually, not all labs ranges are spot on the same. there can be variables with any given lab and how they 'do' them). are you at ALL jaundiced at this point or is everything still normal? the one thing it appears you have not researched or considered is this 'could be' involving your liver, OR it could be a gall bladder issue a pancreatic issue, bile duct problem among other possibles. the fact that no other hepatic indicator numbers were out of range kind of could very well indicate 'other' reasons than just 'only' a possible liver issue. do you know if this was your direct or indirect bili? that too would tell more if liver related or possibly some other 'part' of your upper GI organs or bile duct obstruction.

a high bili count is usually from the function that destroys old red blood cells is simply not for some reson working properly or any other 'part/organ" also involved in THAT particular process is 'not right' too. what i am trying to say here dave is this just may not be a total flat out liver issue but anything involved in that upper GI that is simply not working up to par giving you that higher than norm bili number. you know what i mean? that upper GI is all very highly interconnected in doing certain jobs in our bodies,so if any 'part' of it that is involved in any particular "process" is blocked, or just having some type of problem, it will show itself in some way. the fact every other number is within the norm range, (is this all midrange numbers or are ANY on that higher end of normal? that matters here too)coul;d indicate another much less impactful issue is the underlying reason.

you simply cannot 'assume' anything right now without that needed ultrasound that will actually look really really well at your entire upper GI system to see how well things are working or any possible abnormailities within it too. i have both a kidney and liver disease myself and a son who went thru a liver tx back in 2000, and i can tell you, getting that US done really can tell and show/rule out alot. i have to have one every year just to check on my overall cystic development.

but when my son was actually down to only having 20% of his liver function left when he was first Dxed IN liver failure, the one thing that i simply 'expected' to be there since this WAS a liver impact that was very severe was actual jaundice. he did NOT even have a really high or just very slightly high bili number yet. jaundice in him took many months later only when he developed pancreatitis for some reason, but THAT is when his bili really shot up and THEN we saw jaundice in his eyes for the very first time, and not at all before then. i really was shocked since i always believed that if there is a liver issue, you just have jaundice kind of automatically? not so..

dave, you seriously DO NEED to reset that US appt to even find out what IS behind the higher bili. this just could be so many other possibles that really are not a very direct response to liver only. it just has other possibles besides that liver itself too. but you really need to know for certain whats behind this so you can even recieve possible treatment that even could rid you of it. even having GB problems can bring on jaundice depending upon what is impacting it. this is why that one very telling US IS needed at all dave. fear of the unknown can make us do sooo many things we KNOW we should not be doing since we appear convinced its something we do not want to hear or know about. trust me, i HAVE been there too. but this is the ONLY way to know dave. you have already 'sentenced" yourself pretty much to death here with ONLY a blood test showing one potential liver funtion indicator out of norm. my sons enzymes were off the dang charts along with his alk phos too, but bili, pretty dang low considering. so you just truely NEED that US to see whats up.

i really do hope for your sake and your possible familys sake here that you will override that fear and get back on track and set up that one US dave. it really will help to find out what IS the underlying culprit for that bili being up. knowing what 'high' is as far as your actual number would help alot if you have the sheet. if you do not have your own lab sheets, start getting them anytime you have ANY testing done for your own records and to compare to. but DO make that call and get that US done dave,really. you just DO NEED that test done. i wish you luck with this and hope this is something that is easily treated in some way. while it just 'could' be your liver, it has much more liklyhood of other possibles considering you have had that bili up for quite some time and NO OTHER indicators of function loss in your liver at all at this point? that IS a good sign anyways. please do keep me posted dave,K? now make that appt. marcia

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