Abnormal. Direct bilirubin, indirect bilirubin, and total bilirubin are all high. Bilirubin is the main metabolite of iron porphyrin compounds in the body and is categorized into three indicators: total bilirubin, direct bilirubin and indirect bilirubin, with total bilirubin being the sum of direct and indirect bilirubin. In general, the normal range of total bilirubin in adults is 3.4-17.1 μmol/L, direct bilirubin is 0-6.8 μmol/L, and indirect bilirubin is 1.7-10.2 μmol/L. The normal range of direct bilirubin is 14 μmol/L, and indirect bilirubin is 1.7-10.2 μmol/L. Direct bilirubin of 14 μmol/L, indirect bilirubin of 14 μmol/L, and total bilirubin of 28 μmol/L are all on the high side and are abnormal. High bilirubin is mainly caused by excessive destruction of red blood cells, which exceeds the metabolic capacity of the liver. Elevated direct bilirubin is commonly associated with bilirubin excretion disorders, such as biliary obstruction and gallstones. Elevated indirect bilirubin is common in hemolytic disorders, such as serosanguineous disease and thalassemia. Hepatocellular damage can also cause elevated bilirubin, commonly seen in viral hepatitis, cirrhosis, and hepatocellular carcinoma. When bilirubin is high, it is recommended to consult a doctor in a timely manner to clarify the cause of the disease and target treatment under the guidance of the doctor, do not take medication on your own to avoid delaying the condition.