Patient: Total bilirubin 26, transaminases normal, hepatitis B two-to-one normal please what could be the problem? Han Yonghui, Department of Liver Diseases, Shenyang Infectious Diseases Hospital: The description of the condition is simple, I don’t know whether it is occasionally found in the physical examination or frequently elevated? If the first time found, may be: 1, test error, 2, test with mild hemolysis, 3, may also be normal phenomenon, the next time it is normal. The next time, it will be normal. Just recheck it after two weeks. If this is often the case, you should look at how much the total bilirubin fluctuates and whether the direct and indirect bilirubin is elevated, which should be checked further. Some people also have physiological jaundice. In short, if there is no liver disease, a slight increase in total bilirubin will not be a big problem, and you can simply use some bilirubin-lowering medication and review it regularly.