A high total bilirubin of 23.8 μmol/L is usually not serious if it is caused by medication or psychiatric factors, or if it is caused by cholecystitis, gallbladder stones, etc., but if it is caused by pancreatic head cancer or bile duct cancer, then it may be more serious.
The normal value of total bilirubin in adults is 3.4~17.1 μmol/L. However, if you take anti-tuberculosis drugs such as isoniazid, pyrazinamide, etc., or due to stress and poor sleep quality, total bilirubin can be increased to 23.8 μmol/L. This kind of high bilirubin is not important at this time, and it can be recovered after stopping the drugs and relieving the stress.
Total bilirubin 23.8μmol/L can also be caused by cholecystitis, gallbladder stones, pancreatic head cancer, bile duct cancer, etc. If it is caused by cholecystitis or gallbladder stones, total bilirubin can be restored to the normal range after medication or surgery, so it doesn’t matter.
If it is caused by pancreatic head cancer or cholangiocarcinoma, it is more serious, mainly due to the fact that the liver function of this kind of disease is usually damaged more seriously and its malignant degree is higher, so the prognosis of this kind of disease is poor and the survival rate is low.
If the total bilirubin value is not normal, you should consult the relevant doctors in time, conduct relevant examinations to clarify the cause and target treatment.