Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am a 25 year old female and just got blood test results back that my bilirubin level is at 3.4. The assistant who called wasn t very helpful beyond saying I am supposed to get an ultrasound of my liver. I am starting to freak out and get really worried I have a serious liver disease or something due to lack of information. I know speaking with my doctor is the best thing, but she is out for a week and I won t be able to. Do bilirubin levels ever randomly spike due to alcohol consumption or could it be due to a diet high in protein? Help!
[|AI|]  Hi and welcome to Chat Doctor. It might spike, but not such high. This is severe elevated bilirubin, and it should be evaluated especially in such young people. It can be caused by liver disease in most cases but also some blood disorders as well. He recommended ultrasound because without it, we can't find out the degree of liver damage. After that you'll know is this just fatty liver or there are signs of fibrosis. ALso, it can be caused by biliary duct obstruction and gallbladder issue. All in all you don't need to worry, this is something treatable and reversible. You can't have cirrhosis or malignancy. It can be alcoholic damage, autoimmune or caused by Chat Doctor.  Whatever it is it will be found and you'll know further treatment, WIsh you good health.