The main symptom of elevated indirect bilirubin is jaundice, such as yellowing of sclera, yellowing of skin, etc. There will also be nausea, vomiting, loss of appetite, malaise and other symptoms, and the specific symptoms are related to the etiology of the disease that causes elevated indirect bilirubin.
1. Hemolytic jaundice, due to the massive destruction of red blood cells, which produces a large amount of indirect bilirubin exceeding the metabolism capacity of the liver, the skin and mucous membranes will appear lemon color, but generally there will be fever, chills, headache, vomiting, and so on, with varying degrees of anemia and soy sauce-colored urine and other symptoms.
2. Hepatocellular jaundice, due to severe damage of hepatocytes, resulting in decreased uptake and binding of bilirubin by hepatocytes, resulting in light yellow or dark yellow color of the skin and mucous membranes, accompanied by mild itching of the skin, and accompanied by loss of appetite, fatigue, and other symptoms, and in severe cases, bleeding tendency and peritoneal effusion may also occur.
3. Cholestatic jaundice, due to bile duct obstruction, elevated bile duct pressure, bile duct dilation, resulting in capillary rupture, bilirubin bile into the blood, resulting in dark yellow skin mucosa, and there will be itching and bradycardia, dark urine, stool color becomes light or potter’s earth color and other symptoms.
Due to the different causes of indirect bilirubin elevation, the accompanying clinical symptoms are also different, but no matter what disease causes, should be timely consultation, under the guidance of the doctor to identify the cause of the active treatment, so as not to delay the condition.