High total bilirubin due to liver and gallbladder disease may appear as yellowing of the fingers, but yellowing of the fingers may also be related to other factors such as (exposure to yellow dye or other decolorizing substances). When total bilirubin is high due to liver and gallbladder disease, bilirubin cannot be eliminated from the liver and gallbladder and flows back into the bloodstream, resulting in elevated bilirubin in the blood. When bilirubin is elevated in the blood, the body’s skin, sclera, and urine turn yellow. And when the liver and gallbladder are not well, the digestive function will also be affected, and nausea, vomiting, loss of appetite, abdominal distension and other symptoms can occur. But note that the yellowing of the fingers, in addition to being related to high total bilirubin, may also be caused by exposure of the fingers to yellow dye or other decolorizing substances. Also malnutrition, especially anemia, can lead to yellowing of the fingers. Excessive consumption of carotenoid-containing foods such as oranges and carrots can also lead to yellowing of the fingers. It is recommended that yellowing of the fingers should seek medical attention to find out the specific cause and actively diagnose and treat it.