a 13 year old male is having bilurubin level always 2mg/dl since 2005 and having high unconjugated bilurubin also 2 mg/dl and high alkaline phosphatse with 450 u/l since 2005 always high levels .USG FINDINGS are normal.No any difficulty in routine activities.Hemoglobin is also 12 gm/dl.No family historyof such disease
High bilirubin with high alkaline phosphatase level is defiantly a sign of concern. They are high in intrahepatic obstruction or infiltrate disease.please go through more tests for all types of hepatitis B, C or even hepatitis A. Unconjugated bilirubin is broken product of blood, so any blood disorder like hemolytic anemia or any other hemolytic is also needed to be ruled out. Slightly higher alkaline phosphatase is seen in growing children as they are also present in growing bone tissue. These all abnormalities can be caused by side effects of Chat Doctor.