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Bilirubin (Urine)

Organ Function & Health
43.00

This test detects bilirubin in a urine sample. It helps identify liver or bile duct disorders that affect bilirubin metabolism and excretion.

Turnaround time

Results available 1 day after arrival in lab. Doctor's report sent the day after results available (if required)

Biomarkers count

1

Same-Day Appointments
UKAS Accredited Labs

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Under 18? Patients under 18 can only be seen at GB Medlabs and Clinilabs, Monday to Friday only.
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Details about Bilirubin (Urine)

What is the Bilirubin (Urine) Test?

 

The Bilirubin (Urine) test measures the presence of bilirubin in urine. Bilirubin is a yellow pigment produced during the normal breakdown of red blood cells and is processed by the liver before being excreted in bile.

 

Under normal conditions, bilirubin is not detectable in urine. Its presence usually indicates that conjugated bilirubin is entering the bloodstream due to impaired liver function or obstruction of bile flow. This makes urine bilirubin a useful early indicator of hepatobiliary disease.

 

The test is commonly included as part of urinalysis when liver or bile duct disease is suspected.

 

Why do I need a test for Urine Bilirubin?

 

You may need this test if there are signs or symptoms of liver dysfunction or bile duct obstruction. Because bilirubin can appear in urine before jaundice becomes clinically visible, this test can help detect problems early.

 

It is also used to investigate abnormal liver blood tests, unexplained dark urine or suspected hepatobiliary disease. The test helps differentiate liver-related causes of symptoms from other conditions.

 

Symptoms and scenarios where testing is recommended:

  • Yellowing of skin or eyes (jaundice)
  • Dark-coloured urine
  • Pale stools
  • Abdominal pain or discomfort
  • Abnormal liver blood tests
  • Suspected bile duct obstruction
  • Liver disease monitoring
  • Unexplained fatigue or nausea

 

Benefits of the Bilirubin (Urine) Test

 

  • Early indicator of liver dysfunction
    Detects abnormalities before jaundice is obvious.
  • Assesses bile flow obstruction
    Helps identify cholestatic conditions.
  • Non-invasive screening tool
    Requires only a urine sample.
  • Supports liver disease investigation
    Complements blood-based liver tests.
  • Useful in acute and chronic liver conditions
    Helps monitor disease progression.
  • Quick and simple testing method
    Results are rapidly available.
  • Aids differential diagnosis
    Helps distinguish liver-related causes of symptoms.
  • Accessible and widely used test
    Commonly included in routine urinalysis.

 

Step-by-Step: How Testing Works

 

Choose your preferred testing method

Testing is performed using a urine sample collected at a UK clinic.

 

Option – Urine Sample Collection

  1. Attend your chosen UK clinic.
  2. Provide a fresh urine sample.
  3. The sample is analysed for bilirubin presence.
  4. Results are delivered securely online.

 

Access your report

You can download and share your results with your GP or healthcare provider.

 

Your Results Explained

 

Negative Result

No bilirubin detected in urine.
This is a normal finding and suggests normal bilirubin metabolism and bile flow.

 

Trace / Low Levels

Small amounts of bilirubin may indicate early liver dysfunction.
Further blood testing is often recommended.

 

Positive Result

Detectable bilirubin suggests liver disease or bile duct obstruction.
Results are interpreted alongside liver blood tests and clinical findings.

 

How It Works

Simple steps to get your results

1

Book Online

Choose your test online and book in seconds. Select your preferred clinic location or home visit option.

2

Visit or Test at Home

Attend one of our UK or London clinics, arrange a home nurse visit, or use a finger-prick kit where available.

3

Get Your Results

Your sample is analysed by accredited UK laboratories, with secure results delivered directly to you.

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How to Prepare for Your Test

Follow these guidelines for accurate results

Sample Timing

Where possible, attend your blood test between 7am and 12pm. Please wait until any short-term illness or infection has fully resolved before testing. Avoid intense exercise for 24–48 hours beforehand, as this can affect certain markers.

Fasting & Hydration

Fasting is not always required, but some tests may recommend it. If fasting is advised, avoid food for 8–12 hours before your appointment and drink water only. Stay well hydrated, as this helps with sample collection and accuracy.

Medications & Supplements

Continue prescribed medications unless advised otherwise by your clinician. Avoid vitamin, mineral, or biotin supplements for at least 24–48 hours before your test, as these can interfere with results. If you are unsure about any medication or supplement, please let us know before your appointment.

Hormones & Menstrual Cycle

For hormone-related tests, timing within your menstrual cycle may be important. If relevant, follow any specific guidance provided on your test page.

If you have any questions or special circumstances, our team is happy to advise before your appointment.

Frequently Asked Questions

No, urine bilirubin is normally negative.

Liver disease or bile duct obstruction.

It supports diagnosis but is not used alone.

No fasting is required.

Some drugs may interfere; disclose current medication.

No, it uses a simple urine sample.

It may concentrate urine but does not cause bilirubin positivity alone.

Yes, when liver disease is suspected.

It strongly suggests hepatobiliary involvement but requires confirmation.

Further liver blood tests and imaging may be recommended.

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