Doctor insights on:
How Accurate Are Bilirubin Tests
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
Does a person need to fast for a bilirubin blood test, and for how many hours.? Will the results be more accurate if fasting for many hours?
I made a test where is everything was okay except the bilirubin total 0.41 bilirubin direct was : 0.12 and the g.G.T was 5 what does this indicate?
What's the problem?: I'm assuming these are the usual units. Normal direct / conjugated bilirubin in most labs is around 0 to 0.3 mg/dl; normal total bilirubin: 0.3 to 1.9. If your GGT was slightly below the reference range, remember these ranges are set up so that a few percent of healthies will be outside & the physician interprets. Low GGT means nothing if you're not obviously sick. Glad you're proactive. ...Read more
Possibilities: Gilbert's features a mild, usually lifelong elevation of indirect bilirubin; it's a non-problm. If you're hemolyzing (red cell problem, runner, others), this will raise indirect bilirubin. Medicines or inborn errors that cause cholestasis raise direct bilirubin. Trusting you're not having pain, as with an obstructed bile duct. ...Read more
My all others tests are normal .Only total bilirubin is 2.1 mg/dl.How can I lowered it to normal ?
abnomal "normal": There is likely nothing that you need to do. There are people who have issues with bilirubin metabolism and have a higher than normal level .It will always be there and nothing needs to be done. Suggest you google the term bilirubin and go to a medical site-like web md- that can give you all the possible causes for this. ...Read moreSee 1 more doctor answer
How do I bill for an albumin and bilirubin test. Individually using cpt 82040, 82247 or a panel 80053?
Billing: I would use individual cpt codes as i think this would give you maximal remuneration. ...Read more
My total bilirubin usually ranges from 1.1 to 1.8, with no pattern. Last test showed 2.3, all other results normal. Could this indicate a problem?
Im getting my bilirubin checked tomorrow, if i take a modifinil/provigil today, could that mess up my test? Make it more elevated than it actually is?
Probably not: It would be highly unusual for this medication to affect your liver functions. ...Read more
More testing: Gilbert’s syndrome is due to deficiency of an enzyme that helps to excrete bilirubin. It is usually diagnosed between the ages of 15 and 30 years. Patients with gilbert’s syndrome are prone to develop jaundice from time to time. The risk increases with fasting, dehydration, repeated and profuse vomiting, infections, exertion and stress and after a surgery. You should have additional tests done. ...Read more
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