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Doctor insights on: Direct Vs Total Bilirubin Levels

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Dr. Kathy Robinson Dr. Robinson
Family Medicine
28 years in practice
University of North Carolina School of Medicine
1

1
Is a total bilirubin level of 10 normal ?

Is a total bilirubin level of 10 normal ?

High: Normal values for labs are slightly different but usually normal total bilirubin levels are 0.5 to 2.0 mg/dl. Check the units of measure too. if your lab is using other than mg/dl then 10 may be normal. It is always best to check the normal values for the lab that has run your test. If you call them or your doctor's office they should be able to tell you definitively if your lab is abnormal. ...Read more

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Dr. William Singer
106 doctors shared insights

Total Bilirubin (Definition)

Bilirubin, a product of hemoglobin breakdown, is present in two forms in the human body: unconjugated (indirect bilirubin, insoluble) and conjugated (direct bilirubin, soluble). Unconjugated bilirubin is conjugated in the liver and released into the small intestine in bile, the fluid in the gallbladder. Total bilirubin measures indirect bilirubin plus direct bilirubin; part of ...Read more


Dr. Sana Rezai Dr. Rezai
Family Medicine
6 years in practice
George Washington University Medical School
2

2
Is a total bilirubin level of 21umol normal?

Is a total bilirubin level of 21umol normal?

Maybe: Lab tests can be tricky! is it 21?mol/l? Or maybe its 2.1? Or in mmol? (sometimes it can feel like high school physics again with all the unit conversions ;) ) the bilirubin level might be elevated, especially if you have a reason (like a recent bruise, hepatitis, or gallstones). If you have concerns, talk to your doc! ...Read more

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
3

3
What is the effect of high level of total bilirubin?

Brain damage in new: Born. High levels of bilirubin in newborns cause brain damage. In adults it is not the high bilirubin but the cause of bilirubin that is more important. ...Read more

Dr. Kathy Robinson Dr. Robinson
Family Medicine
28 years in practice
University of North Carolina School of Medicine
4

4
Is a total bilirubin level of 10 normal if mg/dl Units are used ?

Is a total bilirubin level of 10 normal if mg/dl
Units are used ?

High: In those units total bilirubin should be less than two. Ten is high in mg/dl measurements. There are many causes for this involving the liver or gallbladder. Check with your doctor for follow up testing. ...Read more

Dr. Jason Hemming Dr. Hemming
Internal Medicine - Gastroenterology
13 years in practice
Tufts University School of Medicine
5

5
How do I lower my total bilirubin level without using medication?

Nothing: You need to figure if te direct or indirect bilirubin is high and what is causing that elevation. ...Read more

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
6

6
What do you suggest if my total bilirubin level 1.7 is this serious?

?Gilbert syndrome: Do you have any symptoms? How long have you had this level of bilirubin? You may have a common benign disorder, Gilbert syndrome. If you have any symptoms, see your doctor. For more information on possible Gilbert's see this site: http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/CON-20024904 ...Read more

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
7
Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
8
Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
9

9
Hello sir my husbands bilirubin levels total bilirubin is 1.4mg/dl direct 0.4mg/dl indirect 1.0mg/dl...please tell me about his health condition.

Normal: 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, bilirubin levels in about 5% of men are normally in the range you described or somewhat higher. These levels are not a cause for concern. ...Read more

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
10

10
Total Bilirubin level was 1.36 mg/dl one week back. Taking sylabon70 for a week. Now the level is 0.57 . Can I stop the medication. Is the drop normal?

Stop it: You should not have been given the stuff In the first place. Lab reference ranges are set so that a few percent of healthies fall outside on either end. These values fluctuate. A slightly high value is no danger, just something for which, if persistent, an explanation should be sought. ...Read more

Dr. Jeffrey Crespin Dr. Crespin
Internal Medicine - Gastroenterology
24 years in practice
Washington University School of Medicine
11

11
Can a high total bilirubin level of 3.0 kill you?

Usually not: The most common cause is gilberts syndrome a genetic syndrome where a specific liver enzyme it missing. Patients with this syndrome can have elvated bilirubins when fasting or stressed. They live a normal lifespan and the elevated bilirubin may be protective. There are other causes of elevated bilirubin like gallstones, but you probably should check with your doctor. ...Read more

Dr. Marwan Akasheh Dr. Akasheh
Internal Medicine - Hematology & Oncology
35 years in practice
Faculty of Medicine, Jordan University of Science and Technology
12

12
What does this mean? "serum total bilirubin level" 28 umol/ l ( 1-21).

Hyperbilirubinemia: Borderline rise in bilirubin mostly caused by gilbert syndrome when you have congenital weakness of a liver enzyme which destroy the bilirubin.It rises after fasting and increased physical stress and sleeplessness. This condition is not worrisome and no medications needed. ...Read more

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
13

13
What does it mean if my total bilirubin and albumin levels are above normal?

Need more data: What are the actual levels? What are the results of other tests? Lab test results need to be interpreted in the total clinical context of history, physical findings and results of laboratory and imaging studies. ...Read more

Dr. Katharine Cox Dr. Cox
Pediatrics - Emergency Medicine
41 years in practice
14

14
Hi, My total bilirubin levels does not go to decrease less then 2 kindly suggest me how to reduce and i am facing this problem since childhood?

Bilirubin: There are 2 types of bilirubin and if they are abnormal can mean differ things. There is a a pattern when the unconjugated level is slightly high throughout life and is common in families. It is called Gilbert's. Ask your doctor to obtain a fractionated bilirubin to help with the diagnosis. ...Read more

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
15
Dr. Jordan Rush Dr. Rush
Internal Medicine - Gastroenterology
9 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
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Can a total bilirubin level of 4.5 make someone have a change in mental status even with normal liver functioning?

Can a total bilirubin level of 4.5 make someone have a change in mental status even with normal liver functioning?

Bilirubin: This answer would depend upon the underlying cause of the bilirubin elevation. It is certainly possible with cirrhosis and liver failure to have altered mental status. If there is an infection such as cholangitis (bile duct infection) it is also possible to have altered mental status. If it is due to a condition such as gilbert's syndrome then it is less likely. ...Read more

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
17

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My total bilirubin (1.5 mg/dl) and amylase level (126u/l) are higher. They are higher for the past 5 years, what might be happening?

My total bilirubin (1.5 mg/dl) and amylase level (126u/l) are higher. They are higher for the past 5 years, what might be happening?

May be normal: Your bilirubin result is within normal limits. Depending on the lab that did amylase, that may also be within normal limits. All lab results need to be interpreted in the clinical context and your doctor is the best one to do that. See these sites for info. http://www.nlm.nih.gov/medlineplus/ency/article/003479.htm http://www.Nlm.Nih.Gov/medlineplus/ency/article/003464.Htm. ...Read more

Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
18

18
My total bilirubin blood level was 3.0. What does this mean? Is it just gilbert's or possibly something worse?

Not enough info: Need to look at the whole picture. Is this acute or chronic? Are your other liver enzymes elevated? Is your bilirubin primarily indirect or direct? Indirect would be consistent with gilbert's. ...Read more

Dr. Rawhi Omar Dr. Omar
Pathology
40 years in practice
Medical Academy, Higher Medical Institute of Sofia
19

19
Is a urea blood test reading of 4.4 normal and a total bilirubin level of 12 normal in a mcrc pt?

Is a urea blood test reading of 4.4 normal and a total bilirubin level of 12 normal in a mcrc pt?

Bil is too high: Look up the reference values for those tests in your lab report. The blood urea nitrogen of 4.4 is probably normal while a bil of 12 is very high which may indicate liver disease or hemolytic anemia depending on other test result details that you haven't included ...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