How to read the test report to see if there is liver disease?

Patient's question:

My liver function test report states: Total bilirubin 68, Direct bilirubin 33, Indirect bilirubin 35. What could be the cause of this?

Doctor's answer:

Patient, male, 35 years old, elevated bilirubin, under treatment, but the effect is not ideal. Total bilirubin 68, direct bilirubin 33, indirect bilirubin 35 often suggests liver damage, but it is not severe. Common causes include: gallbladder issues, cholecystitis, gallstones, gallbladder polyps, biliary obstruction, liver cell damage and irritation caused by hepatitis B and C, fatty liver, alcoholic liver disease, and a long-term diet high in greasy and sweet foods. It is recommended to check the hepatitis B panel, liver and gallbladder ultrasound, and hepatitis C antibody test. First, rule out the most common viral hepatitis. In addition to treating liver disease, it is advised that the patient pay attention to diet in daily life and maintain a cheerful mood at all times to enhance physical fitness and slow down the recovery process.

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