Types

• Bilirubin is a breakdown product of haemoglobin. Normally when blood cells become old they are trapped and destroyed by the spleen. When this occurs , the haemoglobin must be broken down in the liver to bilirubin in order to be disposed off. Bilirubin is eventually excreted in the bile and leaves the body in the faeces . 
• Bilir...

Description

0-0.3 mg/dl

When to get Tested

• When there is s/s of jaundice, have anaemia ,have h/o heavy drinking , have cirrhosis.
• When there are symptoms like weakness , fatigue , nausea , vomiting , dark urine , light coloured stools , pruritus, diarrhoea

Elevated Level

Adults 

• Hepatocellular disease
• Biliary tract obstruction
• Drug induced Cholestasis
• Prolonged Total Parenteral Nutrition 

Neonatal patients 

• Sepsis
• Intra uterine viral infections 
• Neonatal hepatitis
• Intrahepatic & Extra hepatic biliary atresia 
• Biliary tract obstruction - Choledochal cyst , Abdominal mass , Annular pancreas
• Trisomy 18
• Galactosemia
• Tyrosinemia
• Dubin johnsons , 
• Rotors Syndromes
• Hypermethioninemia
• Alpha 1 antitrypsin deficiency
• Hypopituitarism
• Hypothyroidism

Decreased Level