High indirect bilirubin and low total protein can be seen in G6PD deficiency, hepatitis B and alcoholic hepatitis.
1. G6PD deficiency: the main attack can lead to hemolysis, pallor, generalized jaundice, poor spirit, poor appetite and dark tea-colored urine. Indirect bilirubin may be elevated, and total protein may drop due to malnutrition caused by anemia over the years.
2. Hepatitis B: Interstitial bilirubin may be elevated with or without direct bilirubin. It is often characterized by poor appetite, dizziness, weight loss, mild distension in the liver area, and jaundice. Some patients may have low total protein due to malnutrition and liver function impairment.
3. Alcoholic hepatitis: it can also lead to interstitial bilirubin elevation. Due to the perennial high metabolic state, the total protein may decrease, accompanied by other manifestations such as anorexia, dysphoria, poor appetite, etc. In the late stage, more obvious jaundice as well as other clinical manifestations of hepatic function impairment will appear.
High indirect bilirubin and low total protein may be due to other reasons. It is recommended to consult a doctor in time to find out the cause and cooperate with the doctor for treatment if necessary.