What to do if total bilirubin is high and aminotransferases are normal

Liver function report of high total bilirubin and normal aminotransferase may be considered intravascular hemolytic jaundice, bile duct stone blockage, hepatitis liver fibrosis, generally according to the cause of the disease to take surgery, drugs and other symptomatic treatment. 1. Liver fibrosis or cirrhosis: Liver fibrosis and cirrhosis are mainly diffuse fibrous hyperplasia of the liver and formation of regenerative nodules. The damage to liver cells is not serious and transaminases are normal. If hepatitis B, can be treated with entecavir; hepatitis C choose sofosbuvir treatment. 2. Bile duct stone blockage: gallstones bile duct stones appear blocked will lead to bile emptying obstacles, should be surgical choledochotomy to remove stones, biliary tract exploration. The gallbladder should also be removed during the operation. After surgery, intravenous anti-infection therapy and intravenous nutritional support are performed. 3. Intravascular hemolytic jaundice: caused by extrahepatic bile duct obstruction. Jaundice caused by intravascular hemolysis is characterized by elevated bilirubin and normal aminotransferases. Generally, medication is used, such as oral glucocorticosteroids, such as prednisolone, which can inhibit the immune effect, and is used to treat hemolysis caused by immune factors. If the biochemical examination shows abnormal bilirubin index, you need to seek medical treatment as soon as possible to avoid delaying the condition.