Bilirubin, Fluid
Bilirubin, Fluid
Bilirubin, Fluid test determines the level of bilirubin in bodily fluids such as ascitic fluid/ peritoneal fluid, and biliary/hepatic drain fluid in suspected individuals with gall bladder perforation or bile duct leakage. The breakdown of red blood cells produces a yellow substance known as bilirubin. Bilirubin is eventually eliminated from the body after passing through the liver.
It is recommended to undergo this test in order to diagnose conditions such as choleperitoneum (presence of bile in the peritoneum).
Symptoms of high bilirubin
Yellow skin and eyes (jaundice)
Dark yellow urine
Light gray or clay-coloured stools
Nausea
Vomiting
Fatigue
Belly pain or swelling
Bile duct blockage
Hemolytic anemia
What is the Bilirubin, Fluid test used for?
A bilirubin, fluid test is done to diagnose
Choleperitoneum (presence of bile in the peritoneum)
Liver damage
Bile duct blockage
Hemolytic anemia
Liver-related metabolic problems
Test preparation
Preparation for the bilirubin, fluid test may involve fasting, reviewing your medications, and adhering to specific instructions regarding fluid intake. It is important to adhere to the guidance provided by your healthcare provider to obtain accurate test results
Interpretation of the Test Results
Peritoneal fluid:
If the peritoneal fluid value is higher than that of serum bilirubin and is greater than 6 mg/dL, and the ascitic fluid amylase is not elevated, it indicates upper intestinal perforation (gallbladder has perforated into the peritoneum).
Pleural fluid:
In pleural fluid, this test helps to differentiate a transudate (extravascular fluid) from an exudate (fluid buildup caused by tissue leakage). Bilirubin values tend to be higher in exudate fluid than in transudate.
Drain fluid:
Jackson Pratt [JP] drain is a surgical suction drain used in post-cholecystectomy patients. A body fluid/serum bilirubin ratio of greater than 5 in a JP drain fluid indicates bile leak
FAQs
Are there any risks associated with bilirubin, fluid test?
Bilirubin testing on bodily fluids is typically considered to be a safe procedure. However, potential risks include experiencing discomfort during the collection of the sample, encountering minor bleeding, or the possibility of infection at the site of collection
What is the turnaround time (TAT) for the results of bilirubin, fluid test?
Can medications impact bilirubin levels?
Yes, certain medications such as antibiotics and antivirals, can affect the bilirubin levels. So, it is important to inform your healthcare provider about all medications before the test
What are the causes of elevated bilirubin levels?
Elevated levels of bilirubin in the body can result from liver diseases, bile duct obstruction or diseases affecting the red blood cell break down
What steps should someone take if their test results show abnormal bilirubin, fluid levels?
Consult a healthcare professional in order to undergo further assessment, which may involve additional examinations and a thorough evaluation of potential risks
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