Total bilirubin level 0.9,0.8,0.7,0.6,0.5,0, and 4.0 are normal and not jaundice whatever is the result of direct and indirect bilirubin.Indirect bilirubin 0.8, 0.7, 0.6, 0.5,0.4, and 0.3 are all normal levels of blood bilirubin.Direct bilirubin 0, 0.1, 0.2, and 0.3 is normal results and cannot be a cause of jaundice unless indirect bilirubin continue to be high.normal bilirubin values lie between reference ranges, the lower limit, and the upper limit.Normal bilirubin level is a bilirubin value that means there are no diseases that could be found in the sources of synthesis, processing, and removing of bilirubin.
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Indirect less than 0.3 is another insignificant bilirubin level.Total bilirubin less than 0.4 is not a concern of abnormalities.Low levels of bilirubin are generally not concerning and are not monitored as there are no studies confirming the risk for a low level of bilirubin.
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The bilirubin showed in urine and skin at serum bilirubin levels between 3.0 to 5.0 mg/dl, skin jaundice and eyes yellowish discoloration appear, urine color become dark yellow or as light tea when direct bilirubin is high in the blood when indirect bilirubin is higher than 25mg/dl in the blood, it may show greenish plasma color as a result of the severe elevation of indirect bilirubin (due to increased activity of biliverdin reductase enzyme which reduces biliverdin to bilirubin).Ĭomprehended bilirubin levels chart for all ages (adults and newborns) Low bilirubin levels explained Total bilirubin is the sum of all bilirubin forms in the blood and does not represent a different type of bilirubin in the body.
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Medical shortcodes for TSB, DSB, ISB are total, direct, indirect serum bilirubin respectively. Hyperbilirubinemia, Jaundice, icterus are medical terms for high bilirubin levels in the blood and urine, clearly, jaundice means a yellow discoloration of the skin and icterus means discoloration of the eyes, while kernicterus is a medical condition that means brain cells damage due to high bilirubin levels in the blood, usually at levels such as 30 mg/dl, Bilirubin is a highly neurotoxic substance. When your doctor requests a bilirubin test, this means direct bilirubin (DBil), indirect bilirubin, and total-value bilirubin (TBil), the bilirubin test for the newborns is “total bilirubin and/or indirect bilirubin”
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Measuring Bilirubin at the lab: scientists measure conjugated bilirubin and report it as (direct bilirubin), and measures total bilirubin values, then calculated the unconjugated bilirubin by subtracting direct from the total, the result is the estimated indirect bilirubin (unconjugated) Where bilirubin comes from and where does bilirubin go to?īilirubin comes from the degradation of hemoglobin and cells breakdown by spleen or other organs, bilirubin enters bloodstream as large insoluble molecule which has the term (unconjugated), when reaches the liver, hepatic cells perform chemical reaction to make bilirubin soluble in the blood by bound it to the glucuronic acid by the enzyme glucuronyltransferase which then called (conjugated), conjugated bilirubin go from the liver to the intestine and undergoes reduction to the form called stercobilirubin which give the stool its yellowish color, another part of direct bilirubin go to urine through the kidney after being transformed to a compound called urobilinogen (urine dye) which gives the urine the yellowish color.