Is a total bile acid level of 36 μmol/L severe?
In general, a total bile acid level of 36 μmol/L is considered quite serious. The specific analysis is as follows:
The normal reference range for total bile acids is 0.1–10 μmol/L. A level above 10 μmol/L indicates mild elevation, while values exceeding 20–40 μmol/L are considered significantly elevated. Therefore, a total bile acid level of 36 μmol/L is relatively severe. Total bile acids are an important indicator of liver function and reflect the extent of liver damage. They are byproducts formed during the breakdown of cholesterol in the liver and its enterohepatic circulation. To some extent, total bile acid levels can indicate hepatobiliary and digestive system disorders. Elevated total bile acids are commonly seen in conditions such as alcoholic hepatitis, chronic hepatitis, biliary obstruction, and cirrhosis. High total bile acid levels may result from either physiological or pathological factors. In cases of physiological causes—such as consuming large amounts of high-fat foods, excessive alcohol intake, or extreme fatigue—increased cholesterol levels may lead to elevated total bile acids. These situations typically do not require special treatment; maintaining a balanced diet and getting adequate rest are usually sufficient.
If elevated total bile acids are caused by pathological factors, patients are advised to visit a hospital for evaluation of possible hepatobiliary diseases and receive symptomatic treatment under medical guidance based on the underlying cause.