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Doctor insights on: Neonatal Total Bilirubin

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Dr. Brad Goldenberg
108 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


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What could be wrong if my total bilirubin is 25.0 umol/l?

What could be wrong if my total bilirubin is 25.0 umol/l?

Liver: It has something to do with the liver. You need to be checked to see what kind of bilirubin it is to know where in the process there is a failure, but that level is significant. This can be caused by gallbladder issues, liver failure/issues, and blood breakdown. Get it checked out asap. ...Read more

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Fasting blood work. Total Bilirubin 1.5, Direct Bili 0.2, Alk Phos 44, AST 24, ALT 20, Albumin 4.4, Tot protein 6.6. Is high total Bili concerning?

Fasting blood work. Total Bilirubin 1.5, Direct Bili 0.2, Alk Phos 44, AST 24, ALT 20, Albumin 4.4, Tot protein 6.6. Is high total Bili concerning?

Not unless its inc--: reasing. Every Lab has its own Reference range, so checking with your PCP would be the best as None of us would have a clue to the Reference your lab uses. Overall your numbers are not terribly high, except the Alk phos, I think. Best check with your PCP and maybe repeat the tests after 4-6 weeks time. Good Luck ...Read more

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Crp1.01mg/l, serum bilirubin direct .42,bilirubin total .83,pcv/haematocrit 39.7,eosinophils 7,cortisol 8.87ug/dl.is it a problem?

Crp1.01mg/l, serum bilirubin direct .42,bilirubin total .83,pcv/haematocrit 39.7,eosinophils 7,cortisol 8.87ug/dl.is it a problem?

May not be: This all depends on the medical reason the tests were drawn. These may all be normal for you. Part of this may depend on the normal ranges for the lab where the tests were done. This of course is best discussed with your physician. ...Read more

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Total bilirubin 2.5 (Elevated), Direct bilirubin 0.5 (Elevated), Indirect bilirubin 2.0 (Elevated) All other liver enzymes normal. What causes this?

Rerun test: 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, you need to re do the tests in non-fasting state. With the exception of elevated direct bilirubin, the findings are consistent with Gilbert syndrome, which is not a disease. See this site for more info: http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/con-20024904 ...Read more

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Sgpt 950 alkaline phosphatase 298 total bilirubin 5.5 direct bilirubin 4.4 kindly answer cause obstructive jaundice or hepatitis?

Liver functions: Both are possible. Need to also exclude alcohol abuse. If you do not drink excessive alcohol the check with your physician (for liver scan, CT etc.) ...Read more

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Elevated albumin 4.5 and bilirubin total 2.3, direct 0.6?

Elevated albumin 4.5 and bilirubin total 2.3, direct 0.6?

Out of context: Thank you for letting us know. But those tests are not interpreted alone without context or medical history. ...Read more

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Is total bilirubin 2.8 dangerous ?

Can be: It is important to determine why the bilirubin is elevated. It may be a transient phenomenon due to a viral infection or the result of metastases to the liver and a whole lot of things in between. All lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. ...Read more

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My total bilurubin 0.88 direct bilurubin 0.37 indirect bilurubin is 0.51, serum globulin is 3.27 Are these levels normal?

See below: 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 globulin level is higher than normal. It can be due to many causes, e.g., chronic infection, inflammatory disorders, liver disease and myeloma. Please discuss the matter with your doctor. ...Read more

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Could you tell me what is the treatment for jaundice if my mothers total bilirubin count is 6.5 mg/dl?

Jaundice: Treatment depends on the cause of the jaundice. I would definitely have your mom checked with a physician to determine the cause of jaundice. ...Read more

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Total bilirubin 1.7mg/dl, sgot-138, sgpt 90u/l, alk phos-148u/lalbumin-2.4gm/dl, globulin-4.7, a/g ratio -0.51..Wt does this mean?

Total bilirubin 1.7mg/dl, sgot-138, sgpt 90u/l, alk phos-148u/lalbumin-2.4gm/dl, globulin-4.7, a/g ratio -0.51..Wt does this mean?

Liver Damage: It tells me that your liver is not very health. I see you have hepatitis. Perhaps you can get on the new drugs that are coming that can lead to a cure of hepatitis c. They are rumored to be available in the U.S. Later this year. ...Read more

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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

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Albumin in range, total n direct bilirubin in range, alk phos-in range, globulin 2.4, ag ratio 1.63 but AST and ALT -262 n 213. Pl advice?

Albumin in range, total n direct bilirubin in range, alk phos-in range, globulin 2.4, ag ratio 1.63 but AST and ALT -262 n 213. Pl advice?

Ongoing injury: The transaminases (ast and alt) are quite high indicating some of your liver cells are injured and leaking contents into the bloodstream. I'm glad your other labs are in range. This may be acceptable given your underlying chronic hepatitis, or it may be a guide to management now or in the future. ...Read more

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Bilirubin total high 3.5, normal liver function test, negative Gilbert's syndrome, bili direct normal 0.2, normal cbc, what could cause mild bili?

Hemolyzing: You may simply have Gilbert's despite "testing negative for it". Or you may be hemolyzing. It might be worth checking your reticulocyte count; this is often up even without your being anemic in folks who run a high bilirubin like yourself. ...Read more

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Is this considered high bilirubin results: Total Bilirubin 1.1 mg/dL, direct: 0.41dL and indirect 0.7mg/dL. ALT (SGPT) 36 UI/L, AST 29 UI/L?

Is this considered high bilirubin results: Total Bilirubin 1.1 mg/dL, direct: 0.41dL and indirect 0.7mg/dL. ALT (SGPT) 36 UI/L, AST 29 UI/L?

Normal: the results you give look normal to me without knowing any reason why they were done. Results should always be discussed with the doctor who ordered them and interpreted in a complete clinical setting. ...Read more

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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

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


Dr. Scott Keith
1 doctor shared a insight

Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth.Some practitioners are looser with the definition & extend the ...Read more