Does high total bilirubin require liver function re examination?

High total bilirubin usually requires liver function re examination. Elevated total bilirubin may be related to physiological factors or liver and gallbladder diseases. Re examination can help clarify the cause and evaluate the progression of the disease. Mild elevation of total bilirubin caused by physiological factors is commonly seen after intense exercise, fasting blood draws, or physiological jaundice in newborns. This type of elevation is usually transient, with numerical fluctuations within a mild range and no obvious clinical symptoms. It is recommended to avoid interference factors during the re examination and choose to retest under standard conditions. If the re examination results are normal and there are no other abnormal indicators, special treatment may not be necessary. Pathological elevation requires vigilance against liver and gallbladder diseases, such as viral hepatitis, bile duct stones, cirrhosis, or hemolytic diseases. This type of situation is often accompanied by symptoms such as yellowing of the skin and sclera, darkening of urine color, and fatigue. During the re examination, a comprehensive judgment should be made based on indicators such as transaminase and alkaline phosphatase. If necessary, imaging examinations such as ultrasound and CT should be performed. Long term unrelieved elevated bilirubin levels may lead to cholestatic liver injury and require timely intervention.

It is recommended to maintain a regular daily routine and avoid drinking alcohol and high-fat diet before re examination. If the re examination results continue to be abnormal or symptoms such as skin itching and abdominal pain appear, it is necessary to seek medical attention as soon as possible to complete specialized examinations such as hepatitis virus screening and autoimmune liver disease antibody testing. Pay attention to observing changes in urine and stool color in daily life, and regularly monitor liver function indicators.