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Doctor insights on: High Bilirubin Levels In Blood Test

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Dr. Warren Strudwick
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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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Why does my gas and poop smell so bad after eating beef ? Could it be high bilirubin levels ? See blood test in my health files if needed.

Why does my gas and poop smell so bad after eating beef ? Could it be high bilirubin levels ?  See blood test in my health files if needed.

Likely nitrates.: A great many high protein foods like meat have a high concentration of nitrates, which lead to foul smelling stool. Bilirubin is largely responsible for the color of stool as well as some of the smell. ...Read more

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Dr. Warren Strudwick
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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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In my blood test report my bilirubin total was 1.39mg/dl. Is it high or normal and how to reduce it. Haemoglobin level is 14.7 gm%?

In my blood test report my bilirubin total was 1.39mg/dl. Is it high or normal and how to reduce it. Haemoglobin level is 14.7 gm%?

Sounds fine to me: You're a young man, i'm betting you feel fine, and you're not a bunch of numbers. This is high-end-of-normal, i'm going to assume it's mostly indirect, and several percent of folks run high because of gilbert's non-disease -- a variant biochemistry. ...Read more

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How often does the body produce bilirubin? would getting blood taken out two weeks before a blood test alter my level of it?

All the time: What are you asking? Do you have an elevated bilirubin as a sole finding? The often is normal for you as a person, you may have Gilbert's. Please let us know what is happening with you and what you really want and how we can help. ...Read more

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What would a blood test with high total bilirubin mean?

What would a blood test with high total bilirubin mean?

Liver and red cells: Bilirubin is the metabolic product of hemoglobin. The high levels may be from excessive destruction of red blood cells, damage to the liver parenchymal cells or obstruction to the flow of bile. Examining the components of bilirubin, direct and indirect, helps in differentiating among the various causes, . ...Read more

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Dr. Warren Strudwick
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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

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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

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Last blood test:high red blood cells( 5.8) high hemoglobin (17.3) high hematocrit 52% and high bilirubin 2.1. What's wrong with me? Polycythemia vera?

Last blood test:high red blood cells( 5.8) high hemoglobin (17.3) high hematocrit 52% and high bilirubin 2.1. What's wrong with me? Polycythemia vera?

Hey buddy!: You've asked this question repeatedly. Being a smart teen with an interest in science, you're understandably concerned. At your age, and with normal cbc's as a kid (were they normal?) i'd be more concerned about sleep apnea -- that will ruin your life -- or that someone is giving you Anabolic steroids without your knowing it, or an erythropoietin-producing tumor somewhere. ...Read more

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