A total bilirubin of 50μmol/L or more may indicate hepatitis B, cirrhosis, gallbladder stones, parasitic infections, etc. According to the specific cause, appropriate medication and surgical treatment should be given.
1. Hepatitis B: Hepatitis B virus infection can be given antiviral treatment, such as entecavir, lamivudine and other drugs, to promote the decline of total bilirubin.
2. Cirrhosis: high total bilirubin caused by cirrhosis can be treated with hepatoprotective therapy, such as diammonium glycyrrhizinate tablets, reduced glutathione, dicyclomine and other drugs.
3. Gallbladder stones: large size of gallbladder stones can lead to high bilirubin, laparoscopic cholecystectomy, open cholecystectomy can be considered.
4. Parasitic infection: Liver infection with roundworm, Schistosoma or other parasites can lead to blockage of liver ducts, which can cause high total bilirubin, and can be treated with drugs such as albendazole and mebendazole.
When the total bilirubin is 50μmol/L, it is recommended to consult a doctor, clarify the cause of the disease under the guidance of a professional physician, and carry out treatment according to the cause of the disease.