Total bilirubin 31μmol/L, indirect bilirubin 23μmol/L, direct bilirubin 7.8μmol/L, the values are high, and the condition can be controlled by general treatment, medication, and surgery depending on the cause. The normal value of total bilirubin is 3.4-17.1 μmol/L, the normal range of indirect bilirubin is 1.7-13.7 μmol/L, and the normal range of direct bilirubin is 0-6.8 μmol/L. High bilirubin may be related to physiological factors such as alcohol consumption and staying up too late, or it may be caused by viral hepatitis, biliary stenosis, and other pathological factors. 1. Physiological factors: high total bilirubin, direct bilirubin and indirect bilirubin may occur after strenuous exercise and drinking alcohol, which is a normal reaction and does not require special treatment. 2. Pathologic factors: (1) Viral hepatitis: when suffering from viral hepatitis, high bilirubin may occur, mainly due to the destruction of liver cells. Viral hepatitis requires oral antiviral drugs such as entecavir and ganciclovir as prescribed by the doctor. (2) Bile duct stenosis: Bile duct stenosis may cause high bilirubin when there is cholestasis. Oral ursodeoxycholic acid tablets can be taken to accelerate bile excretion or biliary stricture dilatation and plasty can be performed as prescribed by the doctor. If direct bilirubin, total bilirubin or indirect bilirubin is found to be high, you should consult a doctor in time and analyze the cause through liver ultrasound and cholecystography before treating the cause and symptoms.