Test Detail
Overview
Interpreting Results
Tests Included

Content created by

Written by
Dr. Betina Chandolia
BDS, MDS - Oral Pathology and Microbiology
Reviewed by
Dr. Lalit Mohan Gupta
MBBS, MD - Microbiology
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Bilirubin (Total, Direct and Indirect)

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Bilirubin (Total, Direct and Indirect) Test Includes 3 testsView All
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. No special preparation required

Overview


What is Bilirubin (Total, Direct and Indirect)?

It is usually ordered when you have signs or symptoms of liver damage, liver disease like jaundice, dark urine, nausea, vomiting; when you have evidence of bile duct blockage or hemolytic anemia. Sometimes, it is also ordered in newborns with jaundice.


Why is Bilirubin (Total, Direct and Indirect) done?

  1. If you have signs or symptoms of liver disease like dark colored urine, jaundice, nausea, vomiting, abdominal pain, fatigue 
  2. As a part of liver function test or routine health check up  
  3. If you have a history of taking excess amounts of alcohol
  4. If you have been exposed to hepatitis causing virus 
  5. If you have symptoms or signs of hemolytic anemia like pale skin, jaundice, splenomegaly 
  6. In newborns, to monitor neonatal jaundice 



Interpreting Bilirubin (Total, Direct and Indirect) results


Interpretations

  • Increased total bilirubin which is mainly unconjugated may be due to hemolytic anemia, transfusion reactions 
  • Increased total bilirubin which is mainly conjugated may be due to viral hepatitis, drug reactions, alcoholic liver disease, gall stones or any obstruction in the bile ducts 
  • Low levels of bilirubin are usually not a cause for concern and therefore not monitored 



Tests Included (3 tests)


  • Bilirubin Direct
  • Bilirubin Indirect
  • Bilirubin Total

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