Hello, I am a stage 1 breast cancer survivor. My oncologist ran blood work and my total bilirubin levels were elevated at 2.0. I understand the normal range is 1.0 I checked old blood work and for like 5 years my levels of bilirubin have been elevated. In 2009, they were 2.0 and 2008, 1.8 and 1.1. What could be the cause of this elevation? What organ should I worry about-- liver? gall bladder? colon? kidney? pancreas? Could it be cancer? I am very worried and don t know how to proceed. Should i consult a gastroenterologist . I am also having a colonoscopy next week? Can they look while i am under anesthesia? What would the procedure be called?
Hi, to detect particular pathology both direct and indirect bilirubin to be measured separately. Then obstructive or hepatocellular jaundice can be ruled out. Breast cancer has a chance to spread to liver causing early changes like increase in bilirubin and SGPT. So you should monitor them closely. You may consult a gastroenterologist, but your oncologist can guide you better. Reason of colonoscopy is not clear to me, because you have not mentioned related history. Anyway follow your doctors advise.