High Indirect Billirubin

Would like to know what is the possible disease if blood test result is as follows:  Direct 1.96, indirect 8.4 total 10.4
The patient is a 2 months old baby.

Thanks.

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Normal levels of bilirubin are Total bilirubin: 0.3 to 1.9 mg/dL. Direct (also called conjugated) bilirubin: 0 to 0.3 mg/dL. Indirect (also called unconjugated) bilirubin: 0.2 to 0.7 mg/dL.

Persistently elevated indirect bilirubin could be due to blood disorders or congenital liver disorders. Hemolysis (increased destruction of red blood cells) can cause increased indirect bilirubin. Congenital non-hemolytichyperbilirubineamia-Gilbert’s Syndrome and Rotor’s syndrome can cause increased indirect bilirubin. The cause for the raised levels needs to be determined. This is done with the help of blood tests, ultra sonogram and if need be, biopsy of liver will help to clinch the diagnosis.

Hope this helped and do keep us posted.