Direct Bilirubin

Anyone have any idea about the 'Direct Bilirubin'? Was told that it has something to do with the liver apart from jaundice..how worrying will it be & how can it be controlled/lowered if it gets high? Very worried now as my baby is scheduled for hospital appointment due to this.. ??

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Super Mum

When baby has jaundice, it means the total bilirubin level is high. Total bilirubin is called that because there are 2 components: direct bilirubin and indirect bilirubin. Generally, in newborns, if the jaundice persists for more than a few weeks, the doctor will do the direct bilirubin test to see if it is high. This is because in breastfeeding jaundice (common cause of physiological jaundice), the total bilirubin level is usually high but direct bilirubin level is normal. So when they see that the direct bilirubin level is high, they will usually refer baby to the paediatrician. Now, there are “non scary” and “scary” reasons why direct bilirubin levels can be high. It’s definitely understandable that you’re concerned, but take it one step at a time ok?:) Go see the doctor at the hospital, and see if further tests need to be done. The paediatrician will explain to you the results, and you can ask all the questions you need to.

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5y ago

Thank you so much for the info..im really hoping its the non-scary ones..😣

hi, going though this now. pls share your experience 🙏

3y ago

sorry for the late update..😅 baby is strong & healthy now..i was advised to monitor bby urine & poop..fortunately, urine & poops helps with the jaundice issues..doc did a comparison to the blood work, on their certain readings & based on child's urine pattern..at that point, the doc told me that direct bilirubin tends to take time to lower down compares to the indirect bilirubin test..so as the child grows, it will slowly lower down..if it increases then it will be something to be concern of..