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Dull pain and lft
Hi
After having dull pain under right abdomen, we did lft where total bilirubin was 1.2 and sgpt was slightly higher 77.
Post diet changes over a month, sgpt came down to 61 plus improvement in discomfort.
Now Total bilirubin increased to 1..32 (indirect value now is 0.89 from 0.78).
All other markers like ggtp etc have also improved.
Why did bilirubin increase post diet changes?
Answers (14)
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Small variations can occur in bilirubin, liver enzymes due to life style factors, stress, minor inflammation, medicines like statins, acetaminophen.
There is nothing to worry, just follow healthy diet and life style.
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The overall trend sounds reassuring since your SGPT and discomfort have improved 👍
Small fluctuations in bilirubin can happen for several reasons and are not always dangerous, especially when other liver markers are improving. A proper review of your reports and lifestyle factors would help understand it better. You can book a consultation, I’ll guide you step by step 😊
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"The slight increase in your total bilirubin (1.32 mg/dL) despite an improvement in SGPT (from 77 to 61) and GGTP is actually a common clinical observation during the recovery phase of fatty liver or mild liver inflammation. Since the increase is primarily in the Indirect Bilirubin fraction (0.89), it is often not a sign of liver damage worsening, but rather a temporary 'lag' in how the liver conjugates (processes) bilirubin. This can sometimes happen during significant diet changes, weight loss, or even mild dehydration. If you have no yellowing of the eyes or dark urine, this small fluctuation is generally not a cause for alarm
Next Steps
Hydration is Vital: "Ensure you are drinking at least 3 liters of water daily. Dehydration can cause a temporary rise in indirect bilirubin levels."
Avoid 'Crash' Dieting: "Ensure your diet changes are sustainable and balanced. Very low-calorie diets or sudden fasting can sometimes cause bilirubin to fluctuate temporarily."
Limit Toxins: "Continue to strictly avoid alcohol and processed sugars, as these put direct pressure on the liver's ability to conjugate bilirubin."
Caution: "Do NOT worry about minor fluctuations in decimal points (like 1.2 to 1.3). Focus on the 'big picture'—your SGPT is down by 16 points, which is a major victory for your liver health."
Red Flags: "Seek immediate medical advice if you notice yellowing of the skin/eyes (jaundice), clay-colored stools, or if the right-sided pain becomes sharp and severe
Health Tips
DO CONNECT AND CONSULT WITH ME TO RULE.OUT THE CAUSE OF THIS...
"To analyze the trend of your indirect bilirubin over time and rule out any hemolytic issues,
book a full consultation session via my Practo profile."
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You need to first get your USG whole abdomen done to look for liver parenchyma and echotexture and also get your platelet count done to calculate your Fib4 score for estimating your liver fibrosis.
Do you have history of alcohol addiction or any liver related conditions in past..?
Next Steps
USG WHOLE ABDOMEN AND CBC
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