Total bilirubin of 26μmol/L is on the high side. Physiologic elevation will not cause liver damage, while pathologic elevation will cause liver damage. 1. Physiological increase: Physiological jaundice in newborns will lead to an increase in total bilirubin, which will subside within a week. In addition, if you drink a lot of alcohol or do strenuous exercise before the examination, there will also be a physiological increase in total bilirubin, which will recover on its own after regulation and will not harm the liver. 2. Pathological increase: Hepatitis, cirrhosis, cholelithiasis, pancreatic head cancer, etc. can also cause total bilirubin increase, and these diseases cause many symptoms, which may cause damages to the organs of the whole body, and should be treated in time to control the development of the disease. Total bilirubin of 26μmol/L should be treated according to the cause to avoid complications.