Ascites and bilirubin both reflect hepatic impairment, and in general ascites evacuation has no significant effect on lowering bilirubin. Elevated bilirubin is mainly due to hemolytic reaction, resulting in destruction of red blood cells, causing elevated bilirubin, or abnormal liver function, abnormal gallbladder function, resulting in a large amount of bilirubin release, resulting in elevated bilirubin. When the patient’s liver function is abnormal, a large amount of ascites will appear, at this time, pumping ascites can only alleviate abdominal distension, abdominal pain and other discomforts, but it is not effective in treating the high bilirubin caused by liver function damage. Ascites evacuation is one of the measures to reduce the continued damage of liver function, but to lower the bilirubin, it is necessary to take medication to protect liver function, or remove the triggers that cause further damage to liver function. It is recommended to seek immediate medical attention and early treatment under the guidance of a medical professional to avoid delaying the condition.