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Doctor insights on: Total Bilirubin

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Dr. Mark Ingerman
106 Doctors shared insights

Total Bilirubin (Overview)

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 a liver test panel.


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What does total bilirubin mean? What amount should you have as an adult?

What does total bilirubin mean? What amount should you have as an adult?

Depends: Includes direct and indirect billirubin (different stages) and a normal level is somewhere around 1, but labs differ. ...Read more

Dr. Mark Ingerman
106 Doctors shared insights

Total Bilirubin (Overview)

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 a liver test panel.


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

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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I am sufering from hepatitis a. My total bilirubin is 2.9. Sgot is 120. Sgpt is 280. Is it safe to breast feed? Do I will transfer the hepatitis?

I am sufering from hepatitis a. My total bilirubin is 2.9. Sgot is 120. Sgpt is 280. Is it safe to breast feed? Do I will transfer the hepatitis?

No: Physicians and scientists agree that it's safe for a mother infected with viral hepatitis to breastfeed her baby. Considering that the american academy of pediatrics is such a staunch advocate of breastfeeding, this will be good news to many who are worried. In fact, they promote breastfeeding as the best possible way for good health and development. ...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 blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

My blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more

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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

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Total bilirubin of 8.1 mg/dl--but other liver functions normal--means? Past diagnosis of gilbert's but not this high (also have abdominal discomfort)

Total bilirubin of 8.1 mg/dl--but other liver functions normal--means? Past diagnosis of gilbert's but not this high (also have abdominal discomfort)

Direct or indirect?: If mostly indirect, are you hemolyzing? Did you perhaps get malaria? New medication? If mostly direct, do you have a common duct stone? Pancreatic cancer? Bile duct cancer? Both up? Cholestatic jaundice perhaps? New medications -- even a "holistic health / gym fitness drink"? Hope you find the cause & that it's treatable. ...Read more

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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

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What does low total bilirubin mean?

What does low total bilirubin mean?

Low is OK: In general we all worry about elevated bilirubin. Low bilirubin does not suggest any particular illness, it can be cause by certain medications and vitamin c. ...Read more

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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

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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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What does low total bilirubin mean?

Low is OK: In general we all worry about elevated bilirubin. Low bilirubin does not suggest any particular illness, it can be cause by certain medications and vitamin c. ...Read more

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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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My total bilirubin is 1.3, is this normal?

Yes: This is actually within the reference range for most labs, and these are set so that a fair number of healthy folks fall outside. ...Read more

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My total bilirubin is 13.7 is it alarming?

High Bilirubin: Level elevation, could come from Liver or Biliary tract. Consult your doctor for further evaluation. ...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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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

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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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What is the definition or description of: total bilirubin?

See answer details.: 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 a liver test panel. ...Read more

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I'm having total bilirubin 1.8 it's an serious condition sir?

Total Bilirubin: Hi, it depends what the other markers of ur liver function test are, especially ur Alkaline Phosphotase and GGT, if the other markers are normal and your red blood cell count number is normal, too then you might have a condition called Gilbert disease which Bilirubin goes up during fasting and stress and it is benign. ...Read more

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My total bilirubin is 1.3 mg/dl and direct is. 56? Is it abnormal

Yes: Assuming you and I are using the same units. 1.3 mg/dl is fine for total bilirubin but a direct should not be above 0.1 has a decimal point moved? Your physician can answer this better than I can... If this is the only abnormality, perhaps you have dubin johnson. ...Read more

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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

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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

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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

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Total bilirubin 0.4 direct <0.1L indirect 0.3 what does that mean?

Normal values: Bilirubin is the breakdown of red blood cells. There are 2 components - direct and indirect. When elevated, more direct suggests a blockage of the bike ducts from the liver but your levels are OK. ...Read more

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My total bilirubin is 1 3mg dl and direct is 0 5 mg dl is this normal?

Direct a bit high: The direct bilirubin is slightly high. It would be good to consult your doctor. The normal ranges are given below:
direct (also called conjugated) bilirubin: 0 to 0.3 mg/dl
total bilirubin: 0.3 to 1.9 mg/dl
all lab results need to be interpreted in the clinical context. ...Read more

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Is 2.4mg/dl total bilirubin high? If so, what can be done to lower it?

Yes and it depends: On the cause. 2.4mg/dl is high for total bilirubin. First thing to do is to find out if it is direct or indirect or both types of bilirubin that are elevated. High bilirubin can be due to liver disease, hemolysis, biliary obstruction and the treatment is dictated by the cause of the abnormality. ...Read more

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Total bilirubin:1.6mg/dl & direct: 0.2mg/dl. Do I have to control my food?

Total bilirubin:1.6mg/dl & direct: 0.2mg/dl. Do I have to control my food?

Gilberts Syndrome: In all likelihood, particularly since 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

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What does total bilirubin mean? What amount should you have as an adult?

Depends: Includes direct and indirect billirubin (different stages) and a normal level is somewhere around 1, but labs differ. ...Read more

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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

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Hi. My total Bilirubin is 1.3, direct is 0.3, indirect is 1. Does this indicate any issues? Thank u

Probably not: There is a condition that is benign and inherited called Gilbert's and is very common. The total bilirubin can rise in infection and stress also. ...Read more

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Hi my total bilirubin is 1.6 and direct is 0.3 indirect is 1.3. Please tell me what I need to do, is it really serious?

Need more info: How long have you had elevated bilirubin? Do you have any symptoms? 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, it may be that you have a benign disorder called Gilbert's 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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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?

Gilbert's syndrome: You may have gilbert's syndrome which is a common cause of isolated and asymptotic bilirubin elevation. Consult with your doctor to exclude other causes including liver problems. ...Read more

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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

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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

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