Why is the Normal Value of Serum Total Bile Acids Elevated? What Should I Do?

Update Date: Source: Network

The reasons for elevated serum total bile acid levels include non-disease factors such as pregnancy, high-fat diet, etc., which generally do not require special treatment; as well as disease factors such as acute hepatitis, liver cirrhosis, biliary obstruction, etc., which require targeted treatment based on the underlying cause, including medication, physical therapy, and surgical intervention.

Elevated total bile acid levels can be divided into non-disease factors and disease factors. Non-disease factors refer to the increase of total bile acid after pregnancy or eating high-fat foods, which is a normal phenomenon. Disease factors include liver diseases such as acute hepatitis, chronic active hepatitis, liver cirrhosis, and alcoholic hepatitis; biliary obstruction such as intrahepatic and extrahepatic bile duct obstruction; portal shunt, etc., which can all lead to elevated serum total bile acid levels.

When total bile acid levels are elevated, patients need to identify the underlying cause and undergo ultrasonography of the liver and liver function tests. Depending on the disease, different treatments may be prescribed, including medication, physical therapy, and surgical intervention. Regular follow-up checks are also necessary after treatment. Patients should maintain a light diet, avoid greasy and spicy foods, avoid excessive fatigue, quit smoking and alcohol.

Elevated total bile acid levels are often caused by non-disease factors or liver diseases and biliary obstruction. Therefore, it is recommended for patients to eat foods that are beneficial to liver function recovery, promote the repair and regeneration of liver and gallbladder tissues, and enhance bile acid metabolism and excretion, such as mushrooms, dairy products, soy products, and foods rich in vitamins and fibers. At the same time, spicy and stimulating foods should be avoided, and smoking and alcohol should be abstained.