Bilirubin

Bilirubin is a yellow substance present in the blood, and it is formed after the breakdown of red blood cells. After that, it travels to the liver, gallbladder, and digestive tract before excretion. The normal bilirubin ranges from 0.3 to 1.2 mg/dL. It serves as an antioxidant and helps in the excretion of waste products produced from the destruction of abnormal red blood cells.

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My 7-weeks-old baby is suffering from jaundice. Please help.

Query: Hi doctor, My baby is 7 weeks old. He is totally on breastfeed. Yesterday we noticed that his eyes were yellow and we took him to a doctor today. The doctor advised us a bilirubin test. The reports read as bilirubin total 6.8 mg/dL, bilirubin direct 0.9 mg/dL and bilirubin indirect 5.9 mg/dL. Kindly...  Read Full »


Dr. Veerabhadrudu Kuncham

Answer: Hi, Welcome to icliniq.com. It is one of the common complaints from the parents. Such levels of bilirubin are normal in the initial months of life. There is nothing to worry about it. The sleep pattern that you described is perfectly normal. Usually, babies cry continuously for a while and then go ...  Read Full »

Please advice about the bilirubin and sodium alkaline phosphate ranges.

Query: Hello doctor,I wanted to understand the bilirubin and sodium alkaline phosphate ranges. I got LFT done for my mother, in that case, itself I want to understand the range. Please advice.  Read Full »


Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. Her indirect bilirubin is slightly high (attachment removed to protect patient identity). And this can happen due to numerous reasons. Most common being anemia, dehydration, mild jaundice, and gilbert syndrome. Further evaluation is required. I would recommend her fo...  Read Full »

Why is my baby's bilirubin levels fluctuating even after 96 hours of phototherapy?

Query: Dear doctor, My 18 day old baby had gone for 96 hours of phototherapy. Her total bilirubin is fluctuating from 19.5, 14.5, 13.5, 13, 11, again 14 in 12 days. What can be done now?  Read Full »


Dr. E. Venkata Ramana

Answer: Hi, Welcome to icliniq.com. Before advising you about the child, I need some information: What are the blood groups of baby and mother? What was the birth weight of the baby? Was the baby born at term or preterm? Bilirubin may fluctuate during the treatment with phototherapy and the level ...  Read Full »

Why are my liver enzymes and bilirubin levels elevated?

Query: Dear doctor, Here is my lab report: Bilirubin total: 2.2 Bilirubin Direct: 1.5 SGPT: 4548 SGOT: 4153 I have taken drip and injection for nausea. Now nausea has been cured. I have only abdomen pain now, and my fever has been cured before three days. Color of urine is yellow and color of stools is...  Read Full »


Dr. Madathupalayam Madhankumar

Answer: Hi, Welcome to icliniq.com. With these reports, the picture is like hepatitis. The cause for hepatitis has to be investigated. Further lab investigations like complete liver function test (LFT), ultrasound abdomen and viral markers are needed. Also need the date of these posted re...  Read Full »

What is the cause for recurrence of jaundice every three to four months?

Query: Hello doctor, My brother has jaundice, which comes after every three to four months. He feels very low and lazy, and his body becomes yellow. He also has a fever. We do not know why he gets sick every three months. The doctors say that the number of cells in his body that are getting destroyed are...  Read Full »


Dr. Sumit Srivastava

Answer: Hi, Welcome to icliniq.com. Thanks for your query. There are a number of causes of jaundice. Some of them are viral infections, (like hepatitis A, B, C, and E), certain medications, obstruction in the bile duct, and hemolytic anemia. Recurring jaundice is said when the level of bilirubin becomes no...  Read Full »

Can complete bed rest and having plenty of fluid help in correcting bilirubin levels?

Query: Hi doctor, I got LFT test done for my mother who is 56-year-old. Her results show: 1) Bilirubin total is 1.18 mg/dL, range: 0-1 mg/dL. 2) Bilirubin direct is 0.48 mg/dL, range: 0.00-0.25 mg/dL. 3) Lactate dehydrogenase is 500 U/L, range: 230-460 U/L. Can you please let me know how serious is...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, your mother recently has undergone liver function tests, and some results of liver function have become slightly raised. Bilirubin (total) level is 1.18 mg/dL where as normal range is 0-1mg/dL, bilirubin (di...  Read Full »

Kindly comment on my son's bilirubin report.

Query: Hi doctor, I just want you to check the report of my son, who is 3 days old. Kindly check the report and tell me about his health. Is everything fine in the report?  Read Full »


Dr. Deepak Patel

Answer: Hi, Welcome to icliniq.com. I can understand your concerns. I have seen the report that you have sent (attachment removed to protect patient identity).  Today is day 4 of your child and bilirubin total is 8.7 mg/dL and indirect bilirubin is 8.2 mg/dl. This is slightly higher in this age and the ch...  Read Full »

Why does my newborn baby have high bilirubin?

Query: Hi doctor,Our newborn baby was found to have serum bilirubin 20 and direct 18 on the 4th day. Kindly suggest appropriate advice. If we are going for photo therapy, then which light is better?  Read Full »


Dr. Deepak Patel

Answer: Hi, Welcome to icliniq.com. I can understand your concerns. Serum bilirubin of 20 is high for the baby. The value of 18 mg/dL should be indirect bilirubin, because indirect bilirubin is increased in most cases. If direct bilirubin is so much, then the treatment is different. If it is indirect biliru...  Read Full »

Based on my CBC report, please suggest a further course of action.

Query: Hi doctor, I am 50 years old. I am getting muscle pain in legs if I walk a long distance. Also, I am an asthma patient and currently on Theo Asthalin forte tablet and inhaler. Today, I had a complete blood checkup. In the report, the following are highlighted. Total bilirubin count 1.31, red cell di...  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: Your vitamin B12 level is mildly low, which has resulted in early changes in RBC (red blood cell) size. In vitamin B12 deficiency, macrocytes are seen or MC...  Read Full »

What is the value of bile salt and bile pigment if a person has jaundice?

Query: Hello doctor, What is the value of bile salt and bile pigment if a person has jaundice?  Read Full »


Dr. Tim Evans

Answer: Hi, Welcome to icliniq.com. Jaundice represents the deposition of bile pigments, more specifically bilirubin, which can be noticed as a yellow color of the skin and sclera (white part) of the eye. The level of jaundice is usually related to the concentration of serum bilirubin. The normal r...  Read Full »

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