A member asked:

My son is 16 and has been having bilirubin in his urine for ten years. doctor ignores it. his liver enzymes and all other blood tests are normal. help?

3 doctors weighed in across 2 answers

Bilirubin : A small amount of billirubin in urine is normal and gives the urine it's yellow color. High amounts of the direct bilirubin component is usually due to liver disease or bile tract blockage like gall stones. It appears that your son has none of these abnormalities.

Answered 5/5/2019

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Suspect Rotors/DJ : Only conjugated bilirubin is able to enter the urine (bilirubinuria), as unconjugated bilirubin is tightly bound to serum albumin and is not subject to glomerular filtration. The most common causes of bilirubinuria are hepatocellular or cholestatic disease. also includes rare inherited defects of excretion, such as Rotor and Dubin–Johnson's syndrome, or drug toxicity such as phenothiazines, mefan

Answered 4/28/2019

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