My LFT shows total bilirubin2. 2,direct 0.84,indirect 1.42,SGPT 11.3,SGOT 15.7, ultrasound says normal, are paid hbsag Negative, potassium alum was put in barber shop for cuts, any further investigation should be done or how?

Dr. Ayusmati ThakurInternal Medicine Specialist11yrs exp

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Thank you for the query. From the reports that you have provided (i assume you don't have symptoms like fever, loss of appetite, abdominal pain), it is seen that your indirect bilirubin is higher and your enzymes are normal. Usg is normal. Hbsag is negative, but I would also suggest you to get an anti hcv antibody and hemoglobin. If all these reports are within normal limits, your indirect bilirubin is persistently high and you are totally symptom free, in all probabilities you are suffering from a condition called gilbert's syndrome. It is a condition in which the body is genetically deficient in an enzyme to conjugate bilirubin. It is harmless usually. The indirect bilirubin often increases in response to stress like fasting. However, I would ask you to repeat your liver function test after a month and keep a record. Regards. 

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