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Doctor insights on: Bilirubin Total Low

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What does a low bilirubin total level mean?

What does a low bilirubin total level mean?

Nothing: The "normal limits" are set so that a few percent of normal folks fall outside. A low total bilirubin is never a problem. ...Read more

Bilirubin (Definition)

Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more


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What would would cause these results? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2

Not enough info.: It's impossible to analyze isolated lab tests without having the results of all of the tests and an understanding of the patient's medical history, current symptoms, and physical exam results. Although the results don't seem alarming to me, you should discuss them with your doctor. As an alternative, you could upload them to HealthTap Prime and discuss the results with a doctor here. Good luck. ...Read more

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Causes? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2. 25 girl otherwise healthy.

Not concerning: If all other labs are normal, including normal Hgb, normal WBC, normal liver function test, there is no concern for these mildly abnormal labs. You have to put together the whole picture so if you have no symptoms, I would not worry at all. ...Read more

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What causes low bilirubin in adults?

What causes low bilirubin in adults?

Don't worry: The lab's reference range is set up so that a few percent of healthy people's values lie below the bottom. Especially if you are not obviously sick, this means nothing. ...Read more

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Can high bilirubin and low B12 somehow be linked?

Yes, could be caused: By incomplete absorption of B12 or not enough B12 in the body. B12 allow red blood cells (RBC) to survive its 120 days; & if there isn't enough, rbc break down and are destroyed producing bilirubin: megaloblastic anemia. Decreased absorption of B12 caused by destruction of parietal cells, causing pernicious anemia. b12 is also stored in the liver so if u have a liver pathology, abnl levels occur. ...Read more

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Are low iron levels and high bilirubin levels connected?

May be, may be not: Further evaluation is obviously needed. I can't say whether it is related or not without getting more information. In many cases- probably those two are not related. However in a case of colon cancer with metastatic disease to the liver- it can cause both increase of bilirubin level as well as low iron. Go to see your md and discuss further your condition. ...Read more

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What does low total bilirubin mean?

What does low total bilirubin mean?

Low is OK: In general we all worry about elevated bilirubin. Low bilirubin does not suggest any particular illness, it can be cause by certain medications and vitamin c. ...Read more

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High white count low bilirubin low CPK high alt?

High white count low bilirubin low CPK high alt?

It depends: There are dozens of reasons for any one blood test to be above or below the normal value. Blood test need to be interpreted in light of the patients symptoms and physical examination findings. If unsure why a blood test falls outside of the normal range ask your doctor. ...Read more

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Why is my vitamin d low and my bilirubin high 4.5?

Why is my vitamin d low and my bilirubin high 4.5?

Likely unrelated: Based on the limited information, unlikely related. If vitamin d level is severely low and one has gilbert syndrome, it can stress the body and bilirubin can be high. Would need to know if this is direct or indirect bilirubin (not just total). Needs further evaluation and follow-up at 4.5. ...Read more

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Is a low level of bilirubin in urine normal or not?

Normal: Low level of bilirubin in blood or urine is not a cause for concern. ...Read more

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BUN is 4, bilirubin is 1.25, and creatinine is. 77. Is my BUN too low? It has consistently been lower than normal.

Do not worry: You cannot have too low a BUN. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
Get HPV vaccine. ...Read more

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Hepc positive, low Bilirubin, and increased easinophils by a few points enuff to flag it H, sorry not correct on spelling. I just got labs in today?

Hepc positive, low Bilirubin, and increased easinophils by a few points enuff to flag it H, sorry not correct on spelling. I just got labs in today?

No cause for alarm: The lab results are not significant. Consider seeing a hepatologist for current treatment for Hep C with better response ...Read more

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Is it bad to have low RBC and elevated bilirubin?

Low RBC: If the RBC has only recently come down below prior levels or below the lower limit of normal for the lab, when in combination with elevated biilrubin (especially the 'indirect form' of bilirubin) it can mean the RBC (red blood corpuscles) are being damaged and then they release their bilirubin into the bloodstream.
Have this checked soon ...Read more

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Does hemolysis cause a false high bilirubin? What can cause a false low PKU result

Confusing questions: Hemolysis will not affect the bilirubin test but may eventually lead to a higher bilirubin level when the liver processes the hemolysed cells. This is common if a newborn has a big blood pocket called a cephalohematoma under the scalp at birth. If a newborn is tested before they have had enough dietary protein (feeding) to process, the PKU test can be falsly low. Most states repeat it at 2 wks ...Read more

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Is it possible high bilirubin and low B12 can be linked? Liver was tested and is fine.

Is it possible high bilirubin and low B12 can be linked? Liver was tested and is fine.

The real question: Is why you have a high bilirubin for which there are many different causes. I do not know of any specific relationship with B12 and it also depends on what kind of bilirubin is circulating. The answer to your question is quite complex. ...Read more

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I have low white blood count (4.4) and BILIRUBIN is high at (1.4) what would this mean for a twenty something year old?

Any symptoms?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it may be your normal and there may not nothing out of order. You should discuss it with your doctor who knows more about your health.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
Get HPV vaccine. ...Read more

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What causes low bilirubin. 1 (ind.). 1 (dir).2 total and high albumin 5.2? (ast 30, ALT 29) protein7.8, (low wbc)

What causes low bilirubin. 1 (ind.). 1 (dir).2 total and high albumin 5.2? (ast 30, ALT 29) protein7.8, (low wbc)

Not concerned: Being outside the reference range, especially by a bit, doesn't mean unhealthy for most labs. Your bilirubin level is of no significance, and I am not at all concerned about your albumin, ast, alt or protein either. If your absolute white count is low on follow-up it might be of some passing interest though only marked variants from the reference range. Treat the person, not the numbers. ...Read more

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Hi drs, my platelet count is low.. how it can be effected by liver? I hve hep b.all counts are normal. Bilirubin 1.69, pls tell

Hi drs, my platelet count is low.. how it can be effected by liver? I hve hep b.all counts are normal. Bilirubin 1.69, pls tell

Low plt: Platelet can go down due to viral infection i.e.- hepatitis B infection. Also, if one develops liver cirrhosis- spleen can get bigger to compensate the liver damage. Big spleen size will suck on the platelet and cause low platelet level on the periphery. ...Read more

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Mild diffuse fatty infiltration of liver ALT 142 AST 77 low function gallbladder bilirubin fluctuates can this mean cirrhosis or coild it b from gb?

Mild diffuse fatty infiltration of liver ALT 142 AST 77 low function gallbladder bilirubin fluctuates can this mean cirrhosis or coild it b from gb?

Separate problems: Fatty liver, a health risk, associated with elevated liver enzymes. It's treatable with weight loss n monitoring. Low function gallbladder typically means no gallstones, but irritated gallbladder. This can be managed, (not cured) with low fat diet, extra hydration and monitoring. Cirrhosis, permanent damage to liver, usually from toxins like alcohol. Stay with your doc, a low fat diet and be well. ...Read more

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Does this combination indicate anything significant: Low Total & Direct Bilirubin combined with High AST?

Does this combination indicate anything significant: Low Total & Direct Bilirubin combined with High AST?

Can't really tell: Lab results usually are numbers, and numbers are just numbers, without much meaning unless a doctor takes in the whole picture of what's going on with his patient. If the patient's AST (an enzyme, whose level is being measured in a blood sample) is higher than the normal range, the doctor who ordered the test may or may not consider the lab result a problem, depending on how high it is, etc... ...Read more

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Low fat low carb ketogenic diet for person with high bilirubin?

Low fat low carb ketogenic diet for person with high bilirubin?

Let's talk: If your only finding on chemical profile is a consistently high indirect bilirubin and you feel fine, you almost certainly have gilbert's and this is a non-problem that you should not try to address. If consistently high indirect, dubin-johnson is likely, same advice. If you have high bilirubin from an identified or unidentified illness, get with your physician before you try this diet. ...Read more

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Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Many Possibilities: There are many unanswered questions, ei: characteristic of pain, relieving factors, precipitating factors and duration of pain to name a few. Having said this, the slightly elevated total bilirubin might suggest a gallbladder issue, ei:biliary colic from gallstones. See you primary doctor and answer the above questions, this will guide appropriate work up and treatment. ...Read more

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Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Valtrex (valacyclovir): Topical medicines don't work well at all, but oral medicines like Valtrex (valacyclovir) can help get cold sores to go away more quickly. ...Read more

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Bloods showed high mch, high mcv, low RDW and high bilirubin. Liver test/scan came back fine, what else could it be??

Bloods showed high mch, high mcv, low RDW and high bilirubin. Liver test/scan came back fine, what else could it be??

Else what?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the first thing to rule out would be B12/Folate deficiency. What is your hemoglobin level and what are the actual values of the results? ...Read more

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Mild diffuse infiltration fatty liver and low function gallbladder protein 8.4 bilirubin total 2.0 1.76 and diect 0.27 is this due to fatty liver?

Mild diffuse infiltration fatty liver and low function gallbladder protein 8.4 bilirubin total 2.0 1.76 and diect 0.27 is this due to fatty liver?

Probably not: With the majority of your bilirubin being indirect, i.e. Unconjugated, you probably have gilbert's syndrome, which is the most common hereditary cause of increased bilirubin and is found in 5-10% of the population and is due to the reduced activity of the enzyme glucuronyltransferase. Bilirubin levels may increase under conditions of exertion, stress, fasting, and infections but is benign. ...Read more

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What does it mean when you have high alkaline phosphatase levels, but low bilirubin, high aspartate transaminase?

What does it mean when you have high alkaline phosphatase levels, but low bilirubin, high aspartate transaminase?

See a hepatologist: In this setting, an elevated alkaline phosphatase (also known as alk phos), may be an indicator of bile duct obstruction, but can also be elevated in a number of other diseases, including immune injury to the bile ducts, such as primary sclerosing cholangitis or primary biliary cirrhosis. Alk phos can also be elevated in the presence of liver masses and infection. ...Read more

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3 year old son with history of poor weight growth. Labs show burr cells1+, high ast, low bilirubin, low hemoglobin and hemocrit. Ideas?

3 year old son with history of poor weight growth. Labs show burr cells1+, high ast, low bilirubin, low hemoglobin and hemocrit. Ideas?

Depends: The labs might reflect the cause of poor weight gain or reflect that the child is not optimally nourished. Best bet is to follow up labs with the doc who ordered them. ...Read more

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Had. 5mgdl direct bilirubin.1.2 total. High end of normal ALT and AST everything else liver low or normal. What could this mean? Thanks :)

May be normal: All lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Do you have any symptoms? Are there any risk factors for hep c? Please discuss the results with your doctor. ...Read more

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I'm a 37m. I have a constant high bilirubin (~2.1mg/dl), and for several years, high mpv (~13.4fl), and low platelets (140-160k). What does this mean?

Probably nothing: I'm going to assume you are not taking any medications that will raise your bilirubin, and do not have a mild birth defect causing hemolysis. You probably have gilbert's non-disease. Your physician knows the workup, which is simple -- if you turn a bit more yellow if you skip a few meals, you're basically got the diagnosis. I would not be worried about the platelets, but monitor them. ...Read more

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After a blood transfussion do blood readings vary. Bilirubin yest was 12 now today 19! Blood transfussion given last night as hb was low. Colon cancer pt.

Transfusions: Blood transfusions include more than just the red blood cells. Often breakdown products of damaged cells like bilirubin will be present and cause a jump like you have noted, especially if liver function is low. Bili can also jump when there is antibody-mediated destruction of red cells, so it might be wise to have the antibody screen done at cross-match repeated to look. ...Read more

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Blood test report: homocysteine level high/ blood platelets low/ bilirubin high. What could be wrong?

Big picture please: As a lab doctor, this means nothing in isolation. I appreciate your caring & this is no familiar pattern. Is the person clinically healthy? How off are the values? Vegetarians and junk-fooders are equally at risk for high homocysteine as are folks with genetic disease. Bilirubin -- gilbert's? Platelets -- gin and tonic? This isn't something to discuss in a 400-character text thx 4 understanding. ...Read more

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What do low levels of hemoglobin, hematocrit & red blood cell coupled with high level of bilirubin indicate?

Anemia hyperbilirubi: Anemia and hyperbilirubinemia in a 50 yr old which is acute indicate one of two things, either hemolysis from unknown cause or underlying disease such as chronic lymphocytic leukaemia, lymphoma, viruses hiv, bacterial pneumonias, connective tissue disease e.g. Systemic lupus erythematosis. Herefitary anemias thalasemias, sickle cell anemia. Liver disease, associated with anemia due to other dise. ...Read more

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Low CPK high white count low bilirubin and ALT high monocytes high neutrophils and low lymphocytes should I be concerned?

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Do you have any symptoms? Why were these tests done? The issue may not be appropriate for this forum and likely requires an in-person evaluation. ...Read more

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Recent blood test shows low indirect bilirubin (.08)+increased blood volume (99.7)+increased hematocrit (47.2)+high WBC (14, 200). Huh?

Recent blood test shows low indirect bilirubin (.08)+increased blood volume (99.7)+increased hematocrit (47.2)+high WBC (14, 200). Huh?

Uncertain.: The WBC is definitely high, but the HCT and MCV are borderline, and thus of uncertain significance. If truly elevated, the HCT could point to a primary or secondary polycythemia, an increase in the number of red blood cells. But this could also reflect mild dehydration, and given the borderline degree could be nothing. The high WBC is real. If you have no symptoms I would just repeat in 1mo. ...Read more