What causes high ESR and low Bilirubin direct?

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

If your ESR is in between 0.1 mm/hr and 14 mm/hr and your Bilirubin direct is in between 0.1 mg/dL and 0.2 mg/dL then you need not worry as these are the normal ranges for ESR and Bilirubin direct 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 ESR levels include:

• Rheumatic fever
• Vascular disease
• Autoimmune diseases
• Inflammatory bowel disease
• Heart disease

Normal range of ESR : 0.1 - 14 mm/hr

Ideal values of ESR depending on age :

Age	Ideal ESR value
<5 years	2.02
5-10 years	2.041
10-15 years	2.062
15-20 years	2.083
20-25 years	2.104
25-30 years	2.125
30-35 years	2.147
35-40 years	2.169
40-45 years	2.191
45-50 years	2.213
50-55 years	2.236
55-60 years	2.259
60-70 years	2.282
70-80 years	2.305
80-90 years	2.329
90-100 years	2.353
>100 years	2.377

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

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	0.11112
5-10 years	0.11225
10-15 years	0.11339
15-20 years	0.11455
20-25 years	0.11572
25-30 years	0.1169
30-35 years	0.11809
35-40 years	0.11929
40-45 years	0.12051
45-50 years	0.12174
50-55 years	0.12298
55-60 years	0.12423
60-70 years	0.1255
70-80 years	0.12678
80-90 years	0.12807
90-100 years	0.12938
>100 years	0.1307

High ESR and low Bilirubin direct can be caused by a lot of reasons. If you take ESR and Bilirubin direct blood tests and the results are higher than 14 mm/hr for ESR and lower than 0.1 mg/dL for Bilirubin direct, 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 ESR and Bilirubin direct Tests Are Done :

If your doctor wants ESR and Bilirubin direct tests on you, you may need to go through these tests. During the ESR and Bilirubin direct 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 ESR and Bilirubin direct Test reports by your pathologist.

Medical References

• MedlinePlus – Erythrocyte Sedimentation Rate (ESR)
• Cleveland Clinic – Sedimentation Rate (ESR): What It Is & Normal Range
• Mayo Clinic – Sed rate (erythrocyte sedimentation rate)