A member asked:

My son has a blood disorder hereditary spherocytosis that increases his bilirubin. hes not good at aiming at the toilet and sometimes his urine dries orange on the seat. his liver is fine. could that be bilirubin in urine. always been like that?

2 doctors weighed in across 2 answers
Dr. James Ferguson answered

Specializes in Pediatrics

It may be and this can easily be tested for by office based urinalysis.

Answered 5/12/2022

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Dr. Gurmukh Singh answered

Specializes in Pathology

It is. spherocytosis shortens the life span of red cells resulting in a hemolytic anemia. Part of the released hemoglobin is converted into bilirubin and your child makes more bilirubin. It is not the bilirubin that poses any risk but the short red cell lifespan may. It would be useful to consult hematologist. Wish and your son good health!

Answered 5/12/2022

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