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Jaundice Blood Test: Bilirubin Explained

Learn how the bilirubin blood test helps diagnose jaundice. Understand what bilirubin levels indicate, the types of bilirubin, and what abnormal results may mean for liver health.

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Written by Dr.Sonia Bhatt

Last updated on 21st Jul, 2025

Jaundice is a common condition that causes yellowing of the skin and eyes. It happens when there’s too much bilirubin—a yellow pigment—in the blood. If you or a loved one has been diagnosed with jaundice, your doctor may recommend a bilirubin blood test to check your liver function and overall health.

What is Bilirubin?

Bilirubin is a waste product formed when old red blood cells break down. The liver processes bilirubin and removes it from the body through bile (a digestive fluid). Normally, bilirubin levels stay low because the liver efficiently filters it out. But if the liver isn’t working properly, bilirubin builds up, leading to jaundice.

Types of Bilirubin

1. Unconjugated (Indirect) Bilirubin: This form is not yet processed by the liver. High levels may indicate excessive red blood cell breakdown.

2. Conjugated (Direct) Bilirubin: This is the processed form, ready to be excreted. High levels suggest a liver or bile duct problem.

3. Total Bilirubin: The sum of both direct and indirect bilirubin.

Why Do You Need a Bilirubin Test?

Your doctor may order a bilirubin test if you have:

  • Yellow skin or eyes (jaundice)

  • Dark urine or pale stools

  • Fatigue, nausea, or abdominal pain

  • A history of liver disease (like hepatitis or cirrhosis)

  • Newborn jaundice (common in babies)

This test helps diagnose:

Liver disorders (hepatitis, cirrhosis)

  • Blocked bile ducts (gallstones, tumours)

  • Blood disorders (hemolytic anaemia)

  • Infections affecting the liver

How is the Bilirubin Test Done?

A simple blood test is used to measure bilirubin levels. Here’s what to expect:

1. Preparation: You may need to fast (avoid food) for 4-6 hours before the test.

2. Procedure: A healthcare professional will draw blood from your arm.

3. Results: Usually available within a day.

Normal Bilirubin Levels

  • Total Bilirubin: 0.3: 1.2 mg/dL

  • Direct Bilirubin: 0.1: 0.3 mg/dL

  • Indirect Bilirubin: 0.2: 0.9 mg/dL

Higher levels indicate jaundice and possible liver or blood disorders.

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What Do Abnormal Results Mean?

High Bilirubin (Jaundice Causes)

  • Liver Damage (Hepatitis, cirrhosis, alcohol abuse)

  • Bile Duct Blockage (Gallstones, tumours, inflammation)

  • Excessive Red Blood Cell Breakdown (Hemolytic anaemia, malaria)

  • Newborn Jaundice (Common in babies due to immature liver)

Low Bilirubin

Low bilirubin is usually not a concern but may be seen in certain medications or conditions like iron deficiency.

How to Manage Jaundice & Lower Bilirubin?

If your bilirubin levels are high, your doctor will determine the underlying cause and suggest treatment. Here are some general tips to support liver health:

1. Stay Hydrated

  • Drink plenty of water to help flush out toxins.

2. Eat a Liver-Friendly Diet

  • Fruits & Vegetables (Apples, beets, carrots, leafy greens)

  • Lean Proteins (Fish, chicken, lentils)

  • Whole Grains (Oats, brown rice)

  • Avoid Fatty & Processed Foods (Fried foods, excessive sugar)

3. Limit Alcohol & Medications

  • Alcohol can worsen liver damage.

  • Some painkillers (like acetaminophen) can harm the liver if taken excessively.

4. Exercise Regularly

  • Moderate exercise helps improve liver function.

5. Get Enough Sleep

  • Rest helps the body heal and detoxify.

6. Follow Medical Advice

  • If jaundice is due to an infection (like hepatitis), medications may be needed.

  • Newborn jaundice often improves with phototherapy (light treatment).

When to See a Doctor?

Seek medical help if you notice:

  • Persistent yellow skin/eyes

  • Severe abdominal pain

  • Dark urine or pale stools

  • Unexplained fatigue or weight loss

If you suspect jaundice or need a bilirubin test, you can easily book a blood test or consult a doctor through Apollo 24|7. Early detection helps in better management and recovery.

Conclusion

Jaundice is a sign that your liver needs attention. A bilirubin blood test helps identify the cause so that proper treatment can be given. By maintaining a healthy lifestyle and following medical advice, you can support your liver and overall well-being.

If you have concerns about jaundice or liver health, don’t hesitate to reach out to a healthcare provider. 

Consult Top Specialists

Dr D M Karthik, General Practitioner

Dr D M Karthik

General Practitioner

4 Years • MBBS, Fellowship in Diabetes Mellitus, Advance certificate in Diabetes Mellitus, Derma Nutrition Certification

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

449

44 Cashback

Dr. M L Ezhilarasan, General Practitioner

Dr. M L Ezhilarasan

General Practitioner

6 Years • MBBS

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

550

49 Cashback

Dr. D Bhanu Prakash, General Practitioner

Dr. D Bhanu Prakash

General Practitioner

10 Years • MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine

Hyderabad

Apollo 24|7 Clinic, Hyderabad

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Consult Top Specialists

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Dr D M Karthik, General Practitioner

Dr D M Karthik

General Practitioner

4 Years • MBBS, Fellowship in Diabetes Mellitus, Advance certificate in Diabetes Mellitus, Derma Nutrition Certification

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

449

44 Cashback

Dr. M L Ezhilarasan, General Practitioner

Dr. M L Ezhilarasan

General Practitioner

6 Years • MBBS

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

550

49 Cashback

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Dr. D Bhanu Prakash, General Practitioner

Dr. D Bhanu Prakash

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10 Years • MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine

Hyderabad

Apollo 24|7 Clinic, Hyderabad

660

97 Cashback

Consult Top Specialists

Dr. Syed Ismail Ali, General Practitioner

Dr. Syed Ismail Ali

General Practitioner

7 Years • MBBS

Hyderabad

Apollo 24|7 Clinic, Hyderabad

499

49 Cashback

Dr D M Karthik, General Practitioner

Dr D M Karthik

General Practitioner

4 Years • MBBS, Fellowship in Diabetes Mellitus, Advance certificate in Diabetes Mellitus, Derma Nutrition Certification

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

449

44 Cashback

Dr. M L Ezhilarasan, General Practitioner

Dr. M L Ezhilarasan

General Practitioner

6 Years • MBBS

Visakhapatnam

Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam

550

49 Cashback

Dr. Mohammed Kamran, General Practitioner

Dr. Mohammed Kamran

General Practitioner

5 Years • MBBS, FIDM

Nashik

Apollo 24|7 Clinic - Maharashtra, Nashik

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49 Cashback

Dr. D Bhanu Prakash, General Practitioner

Dr. D Bhanu Prakash

General Practitioner

10 Years • MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine

Hyderabad

Apollo 24|7 Clinic, Hyderabad

660

97 Cashback

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