Library/Liver/Bilirubin/4.0

Bilirubin of 4.0 mg/dLWhat it means, and what usually happens next

4.0mg/dL Bilirubin
High
1.33

A total bilirubin of 4.0 mg/dL is clearly above the usual range; from about 2.5 to 3 mg/dL the yellowing of jaundice usually shows in the eyes.

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Bilirubin4.0mg/dL
In µmol/L68
The usual rangeabout 0.1 to 1.2 mg/dL

What usually happens next

See your doctor soon, and the same day with dark urine, pale stools, itching, fever or pain under the right ribs.

Liver tests, a direct bilirubin and often an ultrasound are the usual next steps.

What a high bilirubin usually means, and its common causes

When a bilirubin can read wrong

Fasting, illness and a hard workout raise bilirubin, especially in people with Gilbert's syndrome. Red cells that break down in the body (or in the tube) raise the indirect part, and some medicines raise it too.

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Questions

Is a bilirubin of 4.0 mg/dL normal?

A total bilirubin of 4.0 mg/dL is clearly above the usual range; from about 2.5 to 3 mg/dL the yellowing of jaundice usually shows in the eyes. The usual range is about 0.1 to 1.2 mg/dL.

What is 4.0 mg/dL in µmol/L?

68 µmol/L. Labs in different countries print Bilirubin in different units; the meaning is the same.

Is a bilirubin of 4.0 mg/dL a sign of liver disease?

A mildly high total bilirubin with normal ALT, AST and ALP is most often Gilbert's syndrome, which is harmless. A direct bilirubin and liver tests tell the two apart.

Worked out by LifeFrom from the ACG guideline on abnormal liver tests, and not yet reviewed by a clinician. For your own understanding: only a lab test, read by your clinician, diagnoses anything.