High total bilirubin may be a signal of gallstones, but it may also be related to other liver and gallbladder diseases or physiological factors. The increase in total bilirubin is mainly related to factors such as abnormal bilirubin metabolism and obstructed bile excretion, and needs to be comprehensively judged in conjunction with other examinations. Gallstones may cause obstruction of the common bile duct, preventing the normal discharge of bile and leading to an increase in total bilirubin levels in the blood. These patients often have symptoms such as upper right abdominal pain, jaundice, and darkened urine color. If gallstones are suspected, a definitive diagnosis can be made through abdominal ultrasound, CT, or magnetic resonance cholangiopancreatography. After diagnosis, the treatment method should be selected according to the size and location of the stone, such as using ursodeoxycholic acid capsules, Danning tablets and other drugs to promote stone dissolution according to medical advice, or considering laparoscopic cholecystectomy. Non cholelithiasis factors such as viral hepatitis, cirrhosis, and other liver cell damage diseases can also lead to an increase in total bilirubin. This type of disease is usually accompanied by symptoms such as fatigue, decreased appetite, and discomfort in the liver area, which need to be further differentiated through liver function testing, virological examination, etc. In addition, physiological factors such as intense exercise and excessive fatigue may also cause a mild transient increase in total bilirubin, which usually does not require special treatment.

It was found that if the total bilirubin level increases, high-fat diet should be avoided, and the intake of animal organs and fried foods should be reduced. Daily water intake should not be less than 1500 milliliters. It is recommended to seek medical attention promptly and complete relevant examinations, and have the doctor evaluate whether intervention is necessary. Regular check ups of liver function and abdominal ultrasound can help monitor changes in the condition.


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