High total bile acids is one of the results of liver function tests, which may be a normal physiological phenomenon caused by eating greasy food or staying up all night recently, or it may be caused by gallstones, hepatitis and other diseases.
1. Physiological phenomenon: if recently eat too greasy food, or stay up late, can lead to high total bile acids in the serum, but usually only slightly elevated, as long as the adjustment of diet, proper rest can be relieved. In addition, pregnant women, due to the enlarged uterus pressure on the liver and gastrointestinal tract, can also lead to total bile acid elevation.
2. Gallstones: patients with gallstones may not be able to enter the intestines smoothly due to stone obstruction, which may lead to the reabsorption of bile acids into the blood, resulting in the elevation of total bile acids, which can be restored to normal as long as the obstruction is lifted.
3. Hepatitis, cirrhosis, etc.: In patients with hepatitis and cirrhosis, the metabolism of bile acids is impaired after the decline of liver function, which increases the level of bile acids.
If normal physiological phenomenon is ruled out, you should consult a doctor as soon as possible to find out the cause so as not to delay the condition.