What causes high Bilirubin direct and low Bilirubin indirect?

High Bilirubin direct and low Bilirubin indirect can be caused by many reasons.

If your Bilirubin direct is in between 0.1 mg/dL and 0.2 mg/dL and your Bilirubin indirect is in between 0.1 mg/dL and 1 mg/dL then you need not worry as these are the normal ranges for Bilirubin direct and Bilirubin indirect respectively. But if your levels are lesser or greater than the above values, then there may be some problem in your body.

Some examples of conditions that can increase or decrease Bilirubin levels include:

• Gallstones present in the bile ducts
• Hepatitis A, hepatitis B, hepatitis C
• Scarring of the bile ducts
• Lack of oxygen (hypoxia)
• Liver disease

Bilirubin direct treatment - Click to read 10 GOLDEN ARTICLES on Liver health

Normal range of Bilirubin direct : 0.1 - 0.2 mg/dL

Ideal values of Bilirubin direct depending on age :

Age	Ideal Bilirubin direct value
<5 years	0.11891
5-10 years	0.12854
10-15 years	0.13895
15-20 years	0.1502
20-25 years	0.16237
25-30 years	0.17552
30-35 years	0.18974
35-40 years	0.1885
40-45 years	0.18726
45-50 years	0.18603
50-55 years	0.18481
55-60 years	0.19978
60-70 years	0.19847
70-80 years	0.19717
80-90 years	0.19588
90-100 years	0.1946
>100 years	0.19332

*Ideal values are calculated based on our database of patient records

Normal range of Bilirubin indirect : 0.1 - 1 mg/dL

Ideal values of Bilirubin indirect depending on age :

Age	Ideal Bilirubin indirect value
<5 years	0.1081
5-10 years	0.11686
10-15 years	0.12633
15-20 years	0.13656
20-25 years	0.14762
25-30 years	0.15958
30-35 years	0.17251
35-40 years	0.18648
40-45 years	0.20158
45-50 years	0.21791
50-55 years	0.23556
55-60 years	0.25464
60-70 years	0.27527
70-80 years	0.29757
80-90 years	0.32167
90-100 years	0.34773
>100 years	0.3759

High Bilirubin direct and low Bilirubin indirect can be caused by a lot of reasons. If you take Bilirubin direct and Bilirubin indirect blood tests and the results are higher than 0.2 mg/dL for Bilirubin direct and lower than 0.1 mg/dL for Bilirubin indirect, your physician may recommend more tests to figure out the problem. You might also get these tests if your physician thinks you have some other disease.

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How the Bilirubin direct and Bilirubin indirect Tests Are Done :

If your doctor wants Bilirubin direct and Bilirubin indirect tests on you, you may need to go through these tests. During the Bilirubin direct and Bilirubin indirect blood tests, a pathologist will put a needle into your veins and take out a small quantity of blood. A pathologist is a physician in the medical field who thoroughly studies the causes and effects of disease. Within a few hours you will get your Bilirubin direct and Bilirubin indirect Test reports by your pathologist.

Medical References

• Cleveland Clinic – Bilirubin Test: Understanding High vs. Low Levels & Causes
• Mayo Clinic – Bilirubin test
• MedlinePlus – Bilirubin Blood Test
• Medscape – Bilirubin: Reference Range, Interpretation, Collection and Panels
• NCBI – Evaluating Elevated Bilirubin Levels in Asymptomatic Adults