Bilirubin is a yellow or orange bile pigment. This pigment is the result of the degradation of hemoglobin. Bilirubin is a compound poorly soluble in water and is potentially toxic and harmful.
Bilirubin is emulsified in the liver with glucuronic acid, resulting in a “direct” bilirubin which is soluble, non-toxic and easily excreted through the bile.
High bilirubin levels are known as hyperbilirubinemia, and this is known as jaundice. Normal levels of jaundice are among 1mg/dL. When these levels rise between 2 and 3 mg / dL, then there is clinical detection of jaundice.
When this increase in bilirubin is direct or conjugated, it is eliminated through the urine, which produces a characteristic dark color that goes by the name of dark urine. While the recovery process occurs in the prolonged jaundice, dark urine can wane or disappear but jaundice may still prevail, so there is no sign that this has diminished.
Otherwise, when there is bile duct obstruction or accentuated deficiency in hepatic excretion of bilirubin, it does not reach the intestine, which causes the brown color of stool to be whitish (this is known as acolia).
The detection of high bilirubin may be direct or indirect. The indirect hyperbilirubinemia is incensement of bilirubin by increasing the catabolism of hemoglobin as in the case of hemolytic anemia or Gilbert's syndrome, which is characterized by a decreased ability of hepatic conjugation of bilirubin. A rare cause is the Crigler-Najjar syndrome, usually diagnosed at birth with jaundice pronounced than 20 mg / dL for type I Crigler-Najjar.
Direct hyperbilirubinemia is associated with liver when is weak and has insufficient capacity of excretion.
Increased direct bilirubin may be caused by several reasons:
The elevated bilirubin speaks generally of a weak liver, so you should focus on trying to strengthen the liver and remove the excess of toxins and help the recovery of the liver by diet.
If you get angry often or you keep your feelings inside (especially anger), your liver will suffer with no doubt. You need to learn how to release your anger in a way that will not harm to you or to others. Venting anger is very healthy. Try going to a place where you can mourn off steam, hit a pillow or even cry on your pillow or in the car. If you do not release your anger, it is stored in your body, and holds a lot of tension in it. Once you release the anger, try to understand new ways to interact and learn from experience, because remember that everything that happens is a challenge to learn to know you better and I magnify your power.
Tags: bilirubin cirrhosis hepatitis jaundice liver
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