{"id":194811,"date":"2022-02-09T08:46:42","date_gmt":"2022-02-09T06:46:42","guid":{"rendered":"https:\/\/medicare-group.hu\/laboratory-tests\/laboratory-tests-type\/clinical-chemistry-tests\/bilirubin-direct\/"},"modified":"2025-02-18T16:14:21","modified_gmt":"2025-02-18T14:14:21","slug":"bilirubin-direct","status":"publish","type":"page","link":"https:\/\/medicare-group.hu\/en\/laboratory-tests\/laboratory-tests-type\/clinical-chemistry-tests\/bilirubin-direct\/","title":{"rendered":"Bilirubin direct"},"content":{"rendered":"<div class=\"vc_row wpb_row vc_row-fluid shape_divider_top-none shape_divider_bottom-none\"><div class=\"wpb_column vc_column_container vc_col-sm-12 sc_layouts_column_icons_position_left\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><h1 style=\"text-align: left\" class=\"vc_custom_heading\" >Bilirubin direct<\/h1><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid shape_divider_top-none shape_divider_bottom-none\"><div class=\"wpb_column vc_column_container vc_col-sm-12 sc_layouts_column_icons_position_left\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: justify;\">The name bilirubin comes from the Latin words bilis (bile) and ruber (red). It is produced in organs that are involved in breaking down red blood cells &#8211; the spleen, liver and some lymph nodes. It is also known as bile pigment, and it is the breakdown product of haemoglobin, which is yellow in colour. During its lifetime, it binds to proteins in the blood plasma, from where it is transported to the liver and then to the bile. Stool colour is affected by the amount of bilirubin.<\/p>\n<p style=\"text-align: justify;\">In case of liver disease or increased breakdown of red blood cells, its levels may increase. It causes itching and yellowing of the skin, mucous membranes, and the white of the eyes.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid shape_divider_top-none shape_divider_bottom-none\"><div class=\"wpb_column vc_column_container vc_col-sm-12 sc_layouts_column_icons_position_left\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><h2 style=\"text-align: left\" class=\"vc_custom_heading\" >What does the test show?<\/h2>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: justify;\">Laboratory testing may indicate the presence of some form of liver disease. The amount of bilirubin in the blood is measured.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid shape_divider_top-none shape_divider_bottom-none\"><div class=\"wpb_column vc_column_container vc_col-sm-6 sc_layouts_column_icons_position_left\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><h2 style=\"text-align: left\" class=\"vc_custom_heading\" >In which cases is it recommended to perform the test?<\/h2>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: justify;\">Your doctor will order an examination if they notice any symptoms suggestive of liver disease or biliary obstruction.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<h2 style=\"text-align: left\" class=\"vc_custom_heading\" >What sample is needed for the test?<\/h2>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>A blood sample taken from a vein is needed for the test.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<h2 style=\"text-align: left\" class=\"vc_custom_heading\" >What can the result indicate?<\/h2>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: justify;\">In newborns, due to the immature enzyme system, bilirubin builds up (neonatal jaundice) when haemoglobin is broken down. It is a physiological process that takes place in 1-3 weeks. If jaundice persists, a thorough investigation is required due to suspicion of biliary malformation.<\/p>\n<p style=\"text-align: justify;\">The increase in isolated bilirubin may be due to the so-called Gilbert&#8217;s disease or Gilbert&#8217;s syndrome, which is a congenital bile secretion disorder that affects about 5% of the population in Hungary. However, the result alone is not a diagnosis, it is worth examining liver function <a href=\"https:\/\/medicare-group.hu\/en\/laboratory-tests\/laboratory-test-packages\/liver-function-laboratory-test\/\" target=\"_blank\" rel=\"noopener noreferrer\">along with other values<\/a>.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-6 sc_layouts_column_icons_position_left\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_center\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper   vc_box_border_grey\"><img fetchpriority=\"high\" decoding=\"async\" width=\"565\" height=\"565\" src=\"https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat.jpg\" class=\"vc_single_image-img attachment-full\" alt=\"Bilirubin\" srcset=\"https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat.jpg 565w, https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat-300x300.jpg 300w, https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat-150x150.jpg 150w, https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat-12x12.jpg 12w, https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat-370x370.jpg 370w, https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat-120x120.jpg 120w, https:\/\/medicare-group.hu\/wp-content\/uploads\/2018\/02\/bilirubin-majfunkcio-labor-medicare-laborvizsgalat-410x410.jpg 410w\" sizes=\"(max-width: 600px) 100vw, 565px\" \/><\/div><figcaption class=\"vc_figure-caption\">Bilirubin<\/figcaption>\n\t\t<\/figure>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid shape_divider_top-none shape_divider_bottom-none\"><div class=\"wpb_column vc_column_container vc_col-sm-12 sc_layouts_column_icons_position_left\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><h2 style=\"text-align: left\" class=\"vc_custom_heading\" >What to do after the test?<\/h2>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: justify;\">The test alone cannot diagnose any disease, and in all cases consult an internist or haematologist to determine the exact diagnosis and required therapy.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"Bilirubin direct The name bilirubin comes from the Latin words bilis (bile) and ruber (red). It is produced in organs that are involved in breaking down red blood cells -&hellip;","protected":false},"author":1,"featured_media":0,"parent":191696,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-194811","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.4 (Yoast SEO v25.4) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bilirubin direct - Medicare<\/title>\n<meta name=\"description\" content=\"Bilirubin is produced in organs that are involved in breaking down red blood cells - the spleen, liver and some lymph nodes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicare-group.hu\/en\/laboratory-tests\/laboratory-tests-type\/clinical-chemistry-tests\/bilirubin-direct\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bilirubin direct - 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