Serum total bilirubin 28.2 μmol/L belongs to hidden jaundice, which is usually not serious, but if it is accompanied by other indexes abnormality, or if the patient has obvious discomfort, it is relatively serious.
Serum total bilirubin consists of direct bilirubin and indirect bilirubin, which is mainly metabolized in the liver, and its normal value is 1.71 μmol/L~17.1 μmol/L. When it reaches 28.2 μmol/L, it belongs to hidden jaundice, which may be caused by physiological factors or pathological factors.
Physiologic factors such as prolonged late nights, alcohol abuse, and overwork may cause transient damage to hepatocytes, resulting in a mild increase in total bilirubin. Behaviors such as strenuous exercise can increase red blood cell destruction for a short period of time, which may also result in a mild elevation of total bilirubin. This is usually not serious and will gradually return to normal after improving lifestyle habits and usually without significant discomfort.
However, if the patient is accompanied by epigastric discomfort, anorexia, fatigue, loss of appetite and other uncomfortable symptoms, or contain knowledge of its indicators of abnormality, should consider fatty liver, viral hepatitis, cirrhosis of the liver, biliary stones and other liver and gallbladder disease, then the relative seriousness of the situation, need to pay attention.
If the patient’s serum total bilirubin is 28.2μmol/L for a long time, or accompanied by discomfort, etc., it is recommended to consult a doctor in time to identify the cause of the disease and carry out targeted treatment, so as not to delay the condition.