Whether total bilirubin 35.9 μmol/L is serious or not is determined by the cause of the elevated total bilirubin, which is assessed comprehensively based on other indicators of liver function and imaging tests. It is not serious if it is due to physiologic factors such as strenuous exercise and overwork, but more serious if it is due to pathologic factors such as hepatitis and cirrhosis.
1. Physiological factors: Although the normal value of total bilirubin ranges from 3.4 to 17.1μmol/L, many physiological factors can cause total bilirubin to increase in life, such as strenuous exercise, overwork, etc. In this case, the increase of total bilirubin is not serious, and the total bilirubin value can be returned to normal after sufficient rest.
2. Pathological factors: If the total bilirubin is elevated to 35.9μmol/L due to pathological factors, it will be more serious. There are many causes of elevated total bilirubin, such as hepatitis, cirrhosis of the liver, obstruction of the bile duct system, hemolytic anemia, and congenital hyperbilirubinemia, such as Gilbert’s Syndrome, and so on.
If you have elevated total bilirubin, you need to go to the hospital as soon as possible, and the doctor will formulate an individualized diagnosis and treatment plan according to your specific condition, so as to avoid delaying your condition.