What causes high Bilirubin indirect and low Total serum iron?

High Bilirubin indirect and low Total serum iron can be caused by many reasons.

If your Bilirubin indirect is in between 0.1 mg/dL and 1 mg/dL and your Total serum iron is in between 40 mcg/dL and 190 mcg/dL then you need not worry as these are the normal ranges for Bilirubin indirect and Total serum iron 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 indirect : 0.1 - 1 mg/dL

Ideal values of Bilirubin indirect depending on age :

Age	Ideal Bilirubin indirect value
<5 years	0.10132
5-10 years	0.10266
10-15 years	0.10402
15-20 years	0.10539
20-25 years	0.10678
25-30 years	0.10819
30-35 years	0.10962
35-40 years	0.11107
40-45 years	0.11254
45-50 years	0.11403
50-55 years	0.11554
55-60 years	0.11707
60-70 years	0.11862
70-80 years	0.12019
80-90 years	0.12178
90-100 years	0.12339
>100 years	0.12502

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

Normal range of Total serum iron : 40 - 190 mcg/dL

Ideal values of Total serum iron depending on age :

Age	Ideal Total serum iron value
<5 years	40.528
5-10 years	41.063
10-15 years	41.605
15-20 years	42.154
20-25 years	42.71
25-30 years	43.274
30-35 years	43.845
35-40 years	44.424
40-45 years	45.01
45-50 years	45.604
50-55 years	46.206
55-60 years	46.816
60-70 years	47.434
70-80 years	48.06
80-90 years	48.694
90-100 years	49.337
>100 years	49.988

High Bilirubin indirect and low Total serum iron can be caused by a lot of reasons. If you take Bilirubin indirect and Total serum iron blood tests and the results are higher than 1 mg/dL for Bilirubin indirect and lower than 40 mcg/dL for Total serum iron, 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 indirect and Total serum iron Tests Are Done :

If your doctor wants Bilirubin indirect and Total serum iron tests on you, you may need to go through these tests. During the Bilirubin indirect and Total serum iron 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 indirect and Total serum iron 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
• WebMD – Bilirubin Test: High vs. Low Levels, Direct vs. Indirect
• NIH – Physiology, Bilirubin