High total bile acids indicate liver cell lesions, as total bile acids are an important marker of liver cell damage and can present with digestive symptoms as well as jaundice.
Patients with elevated bile acids first experience digestive symptoms such as dyspepsia, anorexia of greasy foods, loss of appetite, nausea, vomiting, bloating, and loose stools (thin, unformed feces).
With elevated bile acids, jaundice and itching also occur. The itching begins in the palms of the feet and hands and gradually extends proximally along the extremities, rarely involving the face, and is relatively mild during the day and more pronounced at night. Jaundice can also cause the color of the urine to gradually deepen, and in severe cases it can change to a strong tea color.
Elevated total bile acids can also be seen as a result of eating too much fat at one time, or during pregnancy in women with no obvious symptoms.
If you find elevated total bile acids, you should go to your local hospital and cooperate with your doctor to get a clear diagnosis.