All liver functions are normal but the total bile acid is high, which may be caused by physiological reasons, or it may be caused by bile duct stones, hepatitis and other diseases, which need to be treated with general treatment, medication or surgery. 1. Physiological reasons: for example, transient elevation of total bile acids caused by drinking or medication, no treatment is needed, and it will gradually return to normal after removing the triggers. 2. Bile duct stones: This can lead to obstruction of the bile ducts, resulting in high total bile acids, and often requires surgical treatment to remove the stones. 3. Hepatitis: As the condition is not serious, the liver function may be normal but the total bile acid is high, generally need to take antiviral drugs under the guidance of the doctor, such as entecavir, tenofovir, etc., with the improvement of hepatitis, the total bile acid will be gradually returned to normal, but pay attention to whether it is allergic to the drugs. In addition, there may be other causes, should cooperate with the doctor to take the examination to clarify the cause, targeted treatment or treatment.