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What are the possible causes of fluctuation in bilirubin levels?

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Patient's Query

Hi doctor,

My father suffered from non-alcoholic steatohepatitis with an acute attack of hepatitis E. The bilirubin fluctuates between 12 mg/dl and 13 mg/dl. Are readings normal?

Thanks.
Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

I understand your concern.

NASH (nonalcoholic steatohepatitis) and hepatitis E are both different conditions. Hepatitis E can also cause hepatitis. So, labeling NASH warrants proof. I am not concerned with his bilirubin levels. Let me know the following details:

1. AST (aspartate transaminase) /ALT (alanine transaminase) levels.

2. Any alteration of consciousness.

I need to rule out if he has acute liver failure. If you wish, you may discuss the whole thing with me in detail by phone.

I hope this information will help you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At April 29, 2014
Reviewed At August 14, 2025

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Anshul Varshney

Pulmonology (Asthma Doctors)

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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