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Doctor insights on: Direct Bilirubin

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Dr. Lawrence Kessler
36 doctors shared insights

Direct Bilirubin (Overview)

Bilirubin - direct, indirect, and total provide some clues to the underlying disease process. The direct bilirubin has to processed further by the liver for excretion out of the body. Therefore, the direct bilirubin level is generally used as an indicator for the function and health of the liver.


Dr. Lawrence Kessler
36 doctors shared insights

Direct Bilirubin (Overview)

Bilirubin - direct, indirect, and total provide some clues to the underlying disease process. The direct bilirubin has to processed further by the liver for excretion out of the body. Therefore, the direct bilirubin level is generally used as an indicator for the function and health of the liver.


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Direct bilirubin is 1 and indirect is 1. what does it mean?

Likely liver damage: 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, your direct bilirubin is higher than normal and represents intra-hapatic obstruction to the flow of bile. You have listed a number of liver disorders and any of those could explain these results as could the medications. ...Read more

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Direct bilirubin .2, ALT 69, alkaline phosphatase 156, total chol. 213. Sludge on us hida scan 40% still have pain on right side only 18. Bad?

Direct bilirubin .2, ALT 69, alkaline phosphatase  156, total chol. 213. Sludge on us hida scan 40% still have pain on right side only 18. Bad?

Only 18?: Abnormal alt is most commonly a sign of fatty liver disease. Other causes of hepatitis should be ruled out. Follow-up with your physician to get proper follow-up testing. Good luck! ...Read more

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Month old with high direct bilirubin? They say it's from my breastfeeding?

Maybe: It depends on how high the 'high level' is, and how healthy your baby is, better if the baby was full term, not as good if the baby is a premie. In general dr.S get worried when the level is near 20. It would be unusual for a level this high with a month old infant. There are 'baby metabolic factors' that are possible too. Have your doctor explain the evaluation process and tell you just how high. ...Read more

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Elevated indirect bilirubin, normal direct bilirubin, low red blood cell count, normal white blood cell count, iron overload (83), enlarged spleen?

Elevated indirect bilirubin, normal direct bilirubin, low red blood cell count, normal white blood cell count, iron overload (83), enlarged spleen?

Need more informatio: We can not comment on these blood tests without knowing your hemoglobin and hematocrit andtotal rbc level.Total iron, iron binding capacity and most important ferritin level also need to know the values of liver enzymes;level of indirect bilirubin i suggest you consult your doctor who may have all this information and can tell you if anything needs to be done or just follow up. ...Read more

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Direct bilirubin 4 out of (0-3.4) is this normal?

What units?: 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, if the direct bilirubin is 4.0 mg/dL it is not normal. ...Read more

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Direct bilirubin is 1 and indirect is 1. what does it mean?

Likely liver damage: 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, your direct bilirubin is higher than normal and represents intra-hapatic obstruction to the flow of bile. You have listed a number of liver disorders and any of those could explain these results as could the medications. ...Read more

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What is the definition or description of: direct bilirubin?

What is the definition or description of: direct bilirubin?

Direct bilirubin: Bilirubin - direct, indirect, and total provide some clues to the underlying disease process. The direct bilirubin has to processed further by the liver for excretion out of the body. Therefore, the direct bilirubin level is generally used as an indicator for the function and health of the liver. ...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