Total bile acid 11.4 μmol/L exceeds the reference value but is not sufficient to indicate severity. It is generally accepted that the reference value for total bile acid is 0-10 μmol/L. Total bile acid 11.4 μmol/L is mildly elevated, reflecting the liver’s clearance function, and the specific cause needs to be identified if the degree of severity is to be assessed. Elevated total bile acids are commonly seen in acute hepatitis, chronic active hepatitis, hepatocellular carcinoma, and biliary obstruction. It can also be seen transiently in physiologic situations, such as after eating high-fat foods in normal people. The diagnosis is usually clarified by hepatitis screening, tumor markers, liver function tests, abdominal ultrasound and hepatobiliary CT. Total bile acid 11.4 μmol / L do not need to be alarmed, should actively go to the hospital to find out the cause, if the diagnosis of the disease early treatment can be.