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Understanding the Test
Interpreting Results
FAQ's
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Written by
Dr. Betina Chandolia
BDS, MDS - Oral Pathology and Microbiology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Bilirubin (Total, Direct and Indirect)

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

Understanding Bilirubin (Total, Direct and Indirect)


What is Bilirubin (Total, Direct and Indirect)?

A kidney, ureter, and bladder (KUB) X-ray helps to visualize the organs of urinary and gastrointestinal systems. It is performed to determine an intestinal blockage, foreign objects in the stomach, tumors, kidney stones and gallstones. It can also provide information regarding the size, shape, and position of the kidneys, ureters, and bladder. This X-ray is advised to people complaining of persistent or acute abdominal pain.

A KUB X-ray is primary evaluation of the urinary tract before performing any other diagnostic procedures.

What is Bilirubin (Total, Direct and Indirect) used for?

The Bilirubin (Total, Direct and Indirect) test is done in case of signs and symptoms of:

  • Liver damage

  • Liver disease

  • Bile duct blockage

  • Hemolytic anemia

  • Liver-related metabolic problems

  • Jaundice in newborns

 

Interpreting Bilirubin (Total, Direct and Indirect) results


Interpretations

The normal values of total bilirubin may range from 0.30 mg/dL to 1.20 mg.dL.

 

Reference range may vary from lab to lab*

 

  • 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.

 

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Bilirubin (Total, Direct and Indirect)


Frequently Asked Questions about Bilirubin (Total, Direct and Indirect)

Q. How is the blood sample taken?

The healthcare provider takes a blood sample from the arm. The site from where the blood is to be withdrawn is cleaned with a swab of rubbing alcohol. This is then followed by inserting a small needle which has a tube attached to it for collecting blood. Once the sufficient blood for analysis is withdrawn, the needle is removed. The site is then covered with a gauze pad.

Q. Is there any risk associated with the withdrawal of blood sample procedure?

As such there is no risk but in few cases, bruising, bleeding, and infection at the puncture site can be seen. In very few cases, there can be swelling of the vein after the blood is withdrawn.

Q. What other tests are advised along with Bilirubin (Total, Direct and Indirect) Test?

Other tests which are advised along with Bilirubin (Total, Direct and Indirect) test include alkaline phosphatase, aspartate aminotransferase and alanine aminotransferase tests. In case, hemolytic anemia is suspected, the other tests which are advised include complete blood count, reticulocyte count, haptoglobin and LDH.

Q. What does Bilirubin (Total, Direct and Indirect) Test aid in diagnosing?

In case of adults and older children, Bilirubin (Total, Direct and Indirect) Test aids to diagnose and monitor diseases of the liver and bile duct. These diseases may include cirrhosis, gallstones or hepatitis. This test also helps to evaluate the progress people with sickle cell disease or other causes of hemolytic anemia. In case of newborns with jaundice, this test is done to distinguish the causes of jaundice.
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Bilirubin (Total, Direct and Indirect) test price for other cities


Price inAgraRs. 271
Price inAhmedabadRs. 210
Price inAllahabadRs. 210
Price inAmritsarRs. 210
Price inBangaloreRs. 120
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