What Does Bilirubin Indicate in a Blood Test, and When Should I Be Concerned? - #15741

Bilirubin is a yellow pigment produced during the breakdown of red blood cells and is processed by the liver for elimination. It exists in two forms: unconjugated (indirect) and conjugated (direct). Elevated bilirubin levels can indicate liver dysfunction, bile duct obstruction, or excessive red blood cell breakdown. While liver diseases like hepatitis or cirrhosis commonly cause high bilirubin, conditions such as hemolytic anemia, infections, or even fasting can also contribute. A slightly elevated bilirubin level doesn’t always indicate a severe issue, but persistent high levels should be investigated further. In adults, symptoms of high bilirubin depend on the underlying cause. Jaundice (yellowing of the skin and eyes) is the most noticeable sign, but other symptoms may include dark urine, pale stools, fatigue, and itching. Some individuals with mild elevations may not show any symptoms at all. Blood tests measuring liver enzymes (ALT, AST, ALP, and GGT) alongside bilirubin help determine whether the issue lies with liver function, bile flow, or red blood cell destruction. Identifying the root cause is crucial for effective treatment. Ayurveda emphasizes liver detoxification and bile regulation to balance bilirubin levels. Herbs like Kutki (Picrorhiza kurroa) support liver function and bile secretion, while Bhringraj and Turmeric help reduce inflammation and oxidative stress. Drinking warm water with turmeric or consuming Amla (Indian gooseberry) can aid in liver rejuvenation. Dietary changes like reducing processed foods, increasing fiber intake, and staying hydrated also support liver health. If bilirubin levels are persistently high, a doctor’s evaluation is essential to rule out serious liver conditions.