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Doctor insights on: What Does Low Total Bilirubin Mean

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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

Dr. Theodore Davantzis
106 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 does a low bilirubin total level mean?

What does a low bilirubin total level mean?

Nothing: The "normal limits" are set so that a few percent of normal folks fall outside. A low total bilirubin is never a problem. ...Read more

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Dr called said blood tests were normal Rcvd lab results MCH is low & total Bilirubin @1.9. All other results are in normal range. What does this mean?

Dr called said blood tests were normal Rcvd lab results MCH is low & total Bilirubin @1.9. All other results are in normal range. What does this mean?

Maybe Gilbert's?: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more

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Test result for Alk Phosphatase below standard range. Others (total bilirubin, bun, albumin, total protein) also low. What could this mean? Next step?

Test result for Alk Phosphatase below standard range. Others (total bilirubin, bun, albumin, total protein) also low. What could this mean? Next step?

See your clinician: There may be nothing "wrong" with you. Note that no test is perfectly accurate. Also, if you're at very low risk for a disease, an abnormal result is less likely to be true. You need to sit down with a clinician to review your tests in light of your overall personal & family medical history, physical findings, & health goals. Next steps include further tests, & watch & wait. Hope that helps. ...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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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

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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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What does it mean if my total bilirubin and albumin levels are above normal?

Need more data: What are the actual levels? What are the results of other tests? Lab test results need to be interpreted in the total clinical context of history, physical findings and results of laboratory and imaging studies. ...Read more

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My total bilirubin is 1.5 and the direct bilirubin is 0.3 what does it mean?

In most labs: A total bili of 1.5 is upper normal or very slightly elevated. In and of itself not a big deal. ...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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My total bilirubin blood level was 3.0. What does this mean? Is it just gilbert's or possibly something worse?

Not enough info: Need to look at the whole picture. Is this acute or chronic? Are your other liver enzymes elevated? Is your bilirubin primarily indirect or direct? Indirect would be consistent with gilbert's. ...Read more

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What does it mean to have elevated conjugated bilirubin but normal total bilirubin? And if it is together with high amylase and borderline lipase?

What does it mean to have elevated conjugated bilirubin but normal total bilirubin? And if it is together with high amylase and borderline lipase?

Gallbladder/pancreas: High amylase with increased lipase can indicate pancreatitis.
High conjugated bilirubin indicates hepatobiliary disease. You should go see a gastroenterologist with your lab results. ...Read more

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Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Many Possibilities: There are many unanswered questions, ei: characteristic of pain, relieving factors, precipitating factors and duration of pain to name a few. Having said this, the slightly elevated total bilirubin might suggest a gallbladder issue, ei:biliary colic from gallstones. See you primary doctor and answer the above questions, this will guide appropriate work up and treatment. ...Read more

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Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Valtrex (valacyclovir): Topical medicines don't work well at all, but oral medicines like Valtrex (valacyclovir) can help get cold sores to go away more quickly. ...Read more

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If I have very high levels of alkaline phosphatase, ast, alt, total bilirubin, what does it mean?

If I have very high levels of alkaline phosphatase, ast, alt, total bilirubin, what does it mean?

Liver enzymes: May have underlying serious liver problem. Cirrhosis of liver, chronic alcoholism, hepatitis a, b, or c, primary biliary cirrhosis, congenital liver disorders, obstructive jaundice etc. Gi specialist might be able to help you. ...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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Elevated sed rate (32), elevated AST (36) & ALT (48), Total Bilirubin is slightly high (0.9) and creatine is slightly low (0.7) what could this be?

Need more informati: The sed rate is not that high but this depends on your health, age, medical issues etc. You will need a full evaluation to consider the reason for the elevaed liver tests. A normal sed rate for women is 1/2 your age plus 10. We don't know your age. Liver test elevation can be due to health issues like liver disease, hepatitis C, fatty liver, or to medications you take. See your physician. ...Read more

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What would would cause these results? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2

Not enough info.: It's impossible to analyze isolated lab tests without having the results of all of the tests and an understanding of the patient's medical history, current symptoms, and physical exam results. Although the results don't seem alarming to me, you should discuss them with your doctor. As an alternative, you could upload them to HealthTap Prime and discuss the results with a doctor here. Good luck. ...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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If total bilirubin high with metastic liver cancer pt, but other liver tests normal this mean liver damaging / failing? And does it continue to rise. No bile blocked

Depends on: Level of bilirubin, but in general metastatic cancer has a poor prognosis. Isolated bilirubin elevation can be caused by obstruction or hemolysis. Consult with your oncologist for specific details regarding prognosis in your case. ...Read more

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Causes? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2. 25 girl otherwise healthy.

Not concerning: If all other labs are normal, including normal Hgb, normal WBC, normal liver function test, there is no concern for these mildly abnormal labs. You have to put together the whole picture so if you have no symptoms, I would not worry at all. ...Read more

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8days boy sever birth asphyxia. Total bilirubin 58mg Diret bili 20mg. Lncreased liver enzymes low haemoglobin. Normal abdomenal ultrasound. What diagnosi?

Very concerning: Massive hepatic necrosis in a newborn can be from herpes, CMV, medications, perhaps shock, etc. I hope for a good outcome but wish you strength and courage whatever happens. ...Read more

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Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones. Causes? Advice?

Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones. Causes? Advice?

HF: You have complex issues. Why do you have HF and also the cause of liver disease? The AGMA is concerning and has to be worked up. Some of these conditions can be related. What hormones did you take? I have more questions than answers, more so because you have 2 organ dysfunction and a acid base disorder and they can be related. ...Read more

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Why would a teenager have low vitamin d, an elevated (4.5) total bilirubin, irritable bowel symptoms and fatigue?

Why would a teenager have low vitamin d, an elevated (4.5) total bilirubin, irritable bowel symptoms and fatigue?

Need testing: Low vit d is common in those who don't supplement with d during fall & winter & is easily corrected. Irritable bowel symptoms are common & often genetic. It often responds to a fodmap diet: http://cassandraforsythe. Com/blog/complete+fodmap+list+for+a+happy+gut
but make sure you don't have parasites, food allergies or imbalances of flora.
You need tests to find the cause of high bili. See comment:. ...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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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

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