Biomarker · Liver

Bilirubin

Bilirubin is a yellow substance from the normal breakdown of red blood cells. What a bilirubin test shows about the liver and blood, including Gilbert's syndrome.

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What bilirubin is

Bilirubin is made when red blood cells break down. The liver processes it so it can leave the body in bile.

What results can mean

MedlinePlus notes that high bilirubin can be caused by liver disease, bile duct blockage or faster-than-normal breakdown of red blood cells, and can cause jaundice. Gilbert syndrome, a common and harmless inherited condition, can cause mildly raised bilirubin.

Types measured

Tests may report total, direct (conjugated) and indirect (unconjugated) bilirubin; the pattern helps a clinician find where the problem is.

Reference ranges

Reference ranges differ between laboratories, units and methods, and depend on age, sex and your overall clinical picture. A single result is not a diagnosis — interpret it with a qualified clinician.

Factors that can affect the result

  • Liver function
  • Red blood cell breakdown
  • Fasting
  • Gilbert syndrome

Questions people commonly ask

What is Gilbert syndrome?
A common inherited condition causing mildly high bilirubin, often noticed during fasting or illness. It is generally harmless.

Related biomarkers

Related tests

Understand your biomarkers in context

What does this mean for your own health data? Log your results, follow trends over time and bring an organised summary to your next doctor's appointment.

Sources

  1. Bilirubin Blood Test. MedlinePlus, U.S. National Library of Medicine.