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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Bilirubin - urine</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Bilirubin is a yellowish pigment found in <a test="test" href="./002237.htm">bile</a>, which is a fluid produced by the liver and stored in the gallbladder.</p><p>This article is about a lab test to measure the amount of bilirubin in the urine. Large amounts of bilirubin in the body can lead to <a test="test" href="./000210.htm">jaundice</a> or yellowing of the skin.</p><p>Bilirubin may also be measured with a blood test.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>This test can be done on any urine sample.</p><p>For an infant, thoroughly wash the area where urine exits the body.</p><ul><li>Open a urine collection bag (a plastic bag with an adhesive paper on one end).</li><li>For males, place the entire penis in the bag and attach the adhesive to the skin.</li><li>For females, place the bag over the labia.</li><li>Diaper as usual over the secured bag.</li></ul><p>This procedure may take a few tries. An active baby can move the bag, causing urine to go into the diaper.</p><p>Check the infant often and change the bag after the infant has urinated into it. Drain the urine from the bag into the container provided by your health care provider.</p><p>Deliver the sample to the laboratory or to your provider as soon as possible.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How to Prepare for the Test</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Many medicines can interfere with blood test results.</p><ul><li>Your provider will tell you if you need to stop taking any medicines before you have this test. </li><li>Do not stop or change your medicines without first talking to your provider.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test will Feel</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>The test involves only normal urination, and there is no discomfort.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>This test may be done to diagnose liver or gallbladder problems.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Normal Results</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Bilirubin is not normally found in the urine.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What Abnormal Results Mean</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Increased levels of bilirubin in the urine may be due to:</p><ul><li><a test="test" href="./002240.htm">Biliary tract</a> disease, including <a test="test" href="./000273.htm">gallstones</a> in the biliary tract</li><li><a test="test" href="./000255.htm">Cirrhosis</a>, <a test="test" href="./001154.htm">hepatitis</a>, or other forms of liver disease</li><li><a test="test" href="./000280.htm">Tumors of the liver</a> or gallbladder</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Considerations</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Bilirubin can break down in light. That is why babies with jaundice are sometimes placed under blue fluorescent lamps.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Conjugated bilirubin - urine; Direct bilirubin - urine</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1122t.jpg" alt="Female urinary tract" title="Female urinary tract" class="side-img"/><a href="../imagepages/1122.htm">Female urinary tract</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1123t.jpg" alt="Male urinary tract" title="Male urinary tract" class="side-img"/><a href="../imagepages/1123.htm">Male urinary tract</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Dean AJ, Lee DC. Bedside laboratory and microbiologic procedures. In: Roberts JR, Custalow CB, Thomsen TW, eds. <em>Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care</em>. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 67.</p><p>Korenblat KM. Approach to the patient with jaundice or abnormal liver test results. In: Goldman L, Cooney KA, eds. <em>Goldman-Cecil Medicine</em>. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 133.</p><p>Riley RS, McPherson RA. Basic examination of urine. In: McPherson RA, Pincus MR, eds. <em>Henry's Clinical Diagnosis and Management by Laboratory Methods</em>. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 29.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 8/20/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Jacob Berman, MD, MPH, Clinical Assistant Professor of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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