Six months ago, while taking oral contraceptives had a strong pain in his right side. Were commissioned tests for glucose 4.92 (normal 3,5-6,2), direct bilirubin 10.3 Indirect 27.6 38.1 total (norm 17), ALT - 15 (normal 7-40). Prescribed treatment geptralom 1 month. ELISA assays: Anti-HCV is negative., HBsAg Negative. After treatment of pain in his side continued, total bilirubin 42 (rate 17) (direct an indirect 10.4 31,6), Amylase 63 (norm 20-104), ALT 22 (normal 7-40), AST 30 (normal 7 - 1940), Alkaline phos. 129 (rule 240). Results of abdominal ultrasonography: the liver is not enlarged contours are smooth, homogeneous structure, port.vena 1,3, bile ducts are not dilated, no concretions, genatoholedoh 2-3mm; gallbladder is not enlarged, deformed, no walls, no calculus, cystic duct is not extended, the bile ducts are not rasshinery, no concretions, the walls are sealed. The spleen is not enlarged, homogeneous structure, Vienna is not rasshinera. The pancreas is not increased, the structure is homogeneous, smooth contours, virsungov duct not expanded. Conclusion: The indirect signs DZHVP, right nephroptosis 1-2 tbsp. Tests for giardia - Negative. Prescribed treatment geptralom 1 month. , 1 tab. 2r.v day. After treatment total bilirubin 62.2 (norm 17) (direct an indirect 13.8 48,4), Amylase 83 (norm 20-104), ALT 19 (normal 7-40), AST 24 (normal 7-40), Alkaline phos. 134 (rule 240). Pain in the right side decreased, there was a nagging pain in his back just below the shoulder blades. The doctor suggested a break in treatment for a month and then again pass biochemistry. Please recommend how to continue to do?

Respond Tatyana Stepanova, a gastroenterologist, hepatologist You benign hyperbilirubinemia, Gilbert's syndrome. That would reduce bilirubin, need to take valokordin 30 drops at night for 2 - weeks. Be sure to make gastroscopy. According to the results, consult with a gastroenterologist. Similar question: ... elevated bilirubin (total rate of 21.4 to 17.1, direct rule 5.2 to 7.9). Ultrasonography of the abdomen: the liver is not increased, pechechnochnye veins were not enlarged, reduced echogenicity, the contours are smooth, clear, vessel ...