High total bile acid 200umol/L is generally more serious, the normal range of total bile acid is between 1 and 10.0umol/L. High total bile acid 200umol/L is a serious high phenomenon, which is considered to be related to hepatitis, cirrhosis of the liver, hepatocellular carcinoma and other diseases. 1. Hepatitis: usually due to hepatitis, which causes internal damage to the liver and abnormal bile acid metabolism, resulting in high total bile acid and symptoms such as loss of appetite and aversion to greasy food. 2. Cirrhosis of the liver: generally due to cirrhosis of the liver, the liver cells are damaged, and the excretion of bile will also be affected to a certain extent, thus causing the phenomenon of high total bile acids, cirrhosis of the liver usually appear weakness, abdominal distension and other symptoms. 3. Hepatocellular carcinoma: the stimulation of cancer cells in hepatocellular carcinoma may cause the total bile acid to be elevated in different degrees, thus the phenomenon of high total bile acid occurs, and hepatocellular carcinoma usually has symptoms such as pain and abdominal distension. 4. If there is bile duct stone or bile duct obstruction caused by bile duct occupation, it can also lead to obvious elevation of bile acid. If the phenomenon of high total bile acid occurs, one should go to the hospital for consultation in time, so as to avoid delaying the condition and adverse consequences. In daily life, one should have a reasonable diet and proper exercise.