What causes high Bilirubin direct and low Packed cell volume?

High Bilirubin direct and low Packed cell volume can be caused by many reasons.

If your Bilirubin direct is in between 0.1 mg/dL and 0.2 mg/dL and your Packed cell volume is in between 41 % and 49.5 % then you need not worry as these are the normal ranges for Bilirubin direct and Packed cell volume 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

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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	0.11134
5-10 years	0.1127
10-15 years	0.11407
15-20 years	0.11546
20-25 years	0.11687
25-30 years	0.1183
30-35 years	0.11974
35-40 years	0.1212
40-45 years	0.12268
45-50 years	0.12418
50-55 years	0.12569
55-60 years	0.12722
60-70 years	0.12877
70-80 years	0.13034
80-90 years	0.13193
90-100 years	0.13354
>100 years	0.13517

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

Normal range of Packed cell volume : 41 - 49.5 %

Ideal values of Packed cell volume depending on age :

Age	Ideal Packed cell volume value
<5 years	41.5
5-10 years	42.006
10-15 years	42.518
15-20 years	43.037
20-25 years	43.562
25-30 years	44.093
30-35 years	44.631
35-40 years	45.175
40-45 years	45.726
45-50 years	46.284
50-55 years	46.849
55-60 years	47.421
60-70 years	48
70-80 years	48.586
80-90 years	49.179
90-100 years	49.172
>100 years	49.165

High Bilirubin direct and low Packed cell volume can be caused by a lot of reasons. If you take Bilirubin direct and Packed cell volume blood tests and the results are higher than 0.2 mg/dL for Bilirubin direct and lower than 41 % for Packed cell volume, 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 Packed cell volume Tests Are Done :

If your doctor wants Bilirubin direct and Packed cell volume tests on you, you may need to go through these tests. During the Bilirubin direct and Packed cell volume 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 Packed cell volume 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