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
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 more
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?
I'm 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
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
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 level is elevated indication liver issues. Please see your doctor. You may consult this site for more info.
https://www. Nlm. Nih. Gov/medlineplus/ency/article/003479.htm ...Read more
I just had a series of blood test done and my Bilirubin level is 2.94 should I be extremely worried?
You may have Gilbert's
Gilbert's (zheel-BAR) syndrome is a common, harmless liver condition in which the liver doesn't properly process bilirubin. Bilirubin is produced by the breakdown of red blood cells.
If you have Gilbert's syndrome — also known as constitutional hepatic dysfunction and familial nonhemolytic jaundice — you're born with it as a result of an inherited gene mutation. You might not know you have the condition until it's discovered by accident, such as when a blood test shows elevated bilirubin levels.
Gilbert's syndrome requires no treatment. ...Read more
If a person took a bilirubin blood test while fasting for 12 hours, and took the same test while not fasting, would the results be the same?
Shuld be..: Fasting does not usually affect the bilirubin levels. Did the test differentiate between direct and indirect bilirubin levels? That can tell us sometimes where the elevation is coming from. You should follow up with the doctor who ordered your tests for further discussion about the results and where to go from here. ...Read more
2 tests done in past few months. Total Bilirubin 21 umol/L N < 25 // 1st test showed 25 umol/L. Suggested Gilberts, is 21 high?
Bilirubin high?: F age? : 2 tests done in past few months. Total Bilirubin 21 umol/L N < 25 // 1st test showed 25 umol/L. Suggested Gilberts, is 21 high? ANS: No-if the normal is <25 then 21 is <25 and therefore normal. But discuss with Drs that ordered the test. Gilbert's is inherited problem with bilirubin metabolism of no consequent-mostly. Discuss with your Dr. Go to uptodate. Com for more information. ...Read more
Few years ago I felt in a blood test report that the bilirubin was slightly above the normal range. In a latest test it is 1.9 mg/dl. Pls comment.
I'm not worried: Several percent of humankind have Gilbert's, a non-disease with somewhat elevated bilirubin. If you've skipped a few meals in a row and noticed your eyes got a bit yellow when viewed in sunlight, that's you. Or you might be tearing up red blood cells from a mild hemoglobin problem or from exercise. If you seem healthy otherwise, don't worry about it. ...Read more
Bilirubin direct and indirect fluctuate (indirect 1.2, direct 0.1, total 1.3...Another test: indirect 0.43, direct 0.54, total 0.97), lfts normal.
Might be Gilbert's: A relatively large portion of the population has something called gilbert's, which is completely harmless, and causes elevated indirect bilirubin in times of stress or illness. If you are completely healthy and just have an elevated indirect bilirubin from time to time, it is almost certainly gilbert's. Ask your doctor what he/she thinks. ...Read more
I have taken bilirubin and sgpt test twice My sgpt was earlier 40 and it reduced to 31 But direct bilirubin has increased and indirect is reduced?
Sgpt is normal.: What was the value of your total bilirubin? No values depending on the lab are 0.3-1.0 mg/dl. If that was normal, no need to worry about indirect or direct. If indirect is high one worries about excessive breakdown of red blood cells (hemolysis)ex bleeding, hemolytic anaemia etc. If direct is elevated, there's concern for liver blockage. ...Read more
My bilirubin result is -> 22 which I understand is elevated. I didn't drink any liquids for about 14 hours prior to the test. Could this be why?
My bilirubin was 2.4. The direct was 0.8. Since everything else is normal Doc said its nothing to worry about. 2nd time tests like this. Is he right?
Due to a mild benign enzyme deficiency you cannot incorporate the breakdown product of red blood cells into the liver cells.
The condition is known as Gilbert's Syndrome. ...Read more
Sir, I am rajib data from agartala india. Recently I have done bilirubin test the result little high how can I reduce my total bilirubin in naturally?
Reducing bilirubin?: By knowing what causing it and taking care of it, ask u physician. ...Read more
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
Nothing: It likely means nothing.Get a more detailed answer ›
For the past 5 years, my lab test results have shown my BILIRUBIN as HIGH. What does that say to me?
What bili fraction?: In all likelihood, particularly if more than 85% of your total bilirubin is unconjugated (bilirubin molecule is not attached to a protein that allows it to "dissolve" in blood) you have gilbert's syndrome. This is present in 2% of americans, who present with episodic jaundice. Often such jaundice occurs at times of stress, fever, fasting. Associated with low gluconyl transferase enzyme levels. ...Read more
He recently had a blood test come back with a 3.3 mg/dL bilirubin level. What can he do to bring this down?
My bilirubin level is 2.1 and other leaver test is normal also the ultrasound is normal. So why bilirubin is at 2.1?
Probably Gilbert's: Gilbert’s syndrome is due to deficiency of an enzyme that helps to excrete bilirubin, so the indirect bilirubin is usually elevated, without increases in alkaline phosphatase. Patients with gilbert’s syndrome are prone to develop higher bili levels from time to time. The risk increases with fasting, dehydration, repeated and profuse vomiting, infections, exertion and stress and after a surgery. ...Read more
My urine has a greenish tint to it, but my bilirubin numbers are within normal range after a blood test. What could this be?
Mess: Some vitamins and other mess, and some food coloring agents, will do this. If you feel well, do not worry. ...Read more