Elderly people with high bilirubin need to find out the original cause of the symptomatic treatment, elevated total bilirubin can be divided into pathological factors, such as liver disease, etc.; physiological factors, such as excessive alcohol consumption, etc., and need to be treated symptomatically. 1. Physiological factors: the physiological factors leading to elevated total bilirubin are mainly caused by excessive alcohol consumption, alcohol has a toxic effect on the liver, as well as bad habits can lead to elevated total bilirubin, first of all, the patient needs to quit drinking immediately. First of all, the patient needs to quit drinking immediately, adjust the dietary habits, observe for a period of time, and the total bilirubin will be restored to the normal level. 2. Pathological factors: Pathological factors include primary liver diseases, liver cancer, intrahepatic bile duct stones, hepatitis, cirrhosis, etc. It may also be biliary tract diseases, such as gallstones, etc., which require immediate medical attention, complete the relevant examinations, and carry out symptomatic treatment. Elderly people with high total bilirubin may also be other reasons, such as malignant tumors, etc., need to pay enough attention, please go to the regular hospital in time, complete the relevant examination, identify the primary disease, and actively treat it to avoid delaying the treatment time.