What causes high Bilirubin direct and low RBC?

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

If your Bilirubin direct is in between 0.1 mg/dL and 0.2 mg/dL and your RBC is in between 4.5 mil/uL and 5.5 mil/uL then you need not worry as these are the normal ranges for Bilirubin direct and RBC 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	0.11671
5-10 years	0.12383
10-15 years	0.13138
15-20 years	0.13939
20-25 years	0.14789
25-30 years	0.15691
30-35 years	0.16648
35-40 years	0.17664
40-45 years	0.18742
45-50 years	0.19885
50-55 years	0.19811
55-60 years	0.19737
60-70 years	0.19664
70-80 years	0.19591
80-90 years	0.19518
90-100 years	0.19446
>100 years	0.19373

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

Normal range of RBC : 4.5 - 5.5 mil/uL

Ideal values of RBC depending on age :

Age	Ideal RBC value
<5 years	4.775
5-10 years	5.066
10-15 years	5.375
15-20 years	5.355
20-25 years	5.335
25-30 years	5.315
30-35 years	5.295
35-40 years	5.275
40-45 years	5.256
45-50 years	5.237
50-55 years	5.217
55-60 years	5.197
60-70 years	5.178
70-80 years	5.494
80-90 years	5.473
90-100 years	5.453
>100 years	5.433

High Bilirubin direct and low RBC can be caused by a lot of reasons. If you take Bilirubin direct and RBC blood tests and the results are higher than 0.2 mg/dL for Bilirubin direct and lower than 4.5 mil/uL for RBC, 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 RBC Tests Are Done :

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