Is urine bilirubin 1+ severe?
Feb 26, 2023
Source: Cainiu Health
Dr. Zhao Xinju
Introduction
A urine bilirubin result of 1+ is generally not serious. There are two main types of bilirubin in urine: conjugated bilirubin and unconjugated bilirubin, which are metabolic byproducts produced after red blood cell destruction. Urine bilirubin is one of the parameters tested in a routine urinalysis, and the normal reference value is negative. A finding of bilirubin 1+ in urine testing is usually caused by factors such as excessive fatigue or heavy alcohol consumption.
A urine bilirubin result of 1+ is generally not serious. Details are as follows:
There are mainly two types of bilirubin in urine: conjugated bilirubin and unconjugated bilirubin, both metabolic products formed after red blood cell destruction. Urine bilirubin is one of the indicators tested in routine urinalysis, and its normal value should be negative. When bilirubin is detected at 1+ in a urine test, it is usually due to temporary mild liver metabolic disturbance caused by excessive fatigue, heavy alcohol consumption, or inadequate rest. This condition is typically not severe. Adjusting daily routines—such as ensuring deep sleep before 11 p.m. each night—can help the liver receive adequate blood supply and rest, thereby supporting liver health.
In patients with gallstones, symptoms such as upper abdominal fullness, discomfort, and acid regurgitation may occur, along with a positive (1+) bilirubin result in urinalysis. If the stones are small, medications such as Pishi Keli (Lithotriptic Granules) or Pishi Libidan Jiaonang (Lithotriptic and Gallbladder-Draining Capsules) may be taken under medical supervision. For larger stones, extracorporeal shock wave lithotripsy may be used for treatment.
It is recommended that patients seek timely medical evaluation at a hospital, complete necessary examinations to determine the underlying cause, and receive targeted management or treatment under the guidance of a physician.
