Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor, I have slightly elevated bilirubin levels (Bilirubin-Total by Diazo metho : 1.4 of which Bilirubin-Direct: 0.2 and Bilirubin-Indirect- Serum: 1.2). Also, i have low lymphocytes(18.0 as against normal range of 20.0 to 50.0 %). What could this be an indication of?
[|AI|]  Hi thanks for asking question. Your lymphocytes are only very slightly depleted. Need not much concern. Your bilirubin mild high with increase indirect bilirubin. Here first rule out hemolytic jaundice. For it estimate serum LDH, Relic count and peripheral smear study . If hemoglobinopathy suspected in smear electrophoresis can be done. Secondly rule out fatty liver by USG as it can elevate liver enzyme and bilirubin. If you have alcohol habit then also such finding can occur.Meanwhile, if you develop anorexia, muscle ache, joint pain, headache with fever viral marker done to rule out viral hepatitis. I hope your concern is solved regarding cause for increase bilirubin. Take care.... Chat Doctor.