The results you have provided show that there is an elevation in the indirect bilirubin, which generally indicates what we call indirect hyperbilirubinemia. This lab test finding may result from a number of conditions, which are usually associated with increased production or decreased proper metabolism or uptake of bilirubin by the liver. As my colleague has already explained, such a blood test result cannot be interpreted in isolation of the full clinical picture, meaning, we need to know more detailed information about your son's condition in order to have a clear understanding of the blood test result.
Bilirubin is a dark green pigment that result from the breakdown of red blood cells; particularly, it is the product of breakdown of the heme protein found in the red blood cell. It is potentially toxic in nature and it is processed in the liver to a less toxic pigment that goes into the urine and feces. In adults, 250-400 mg of bilirubin is produced daily.
Liver pain associated with indirect bilirubin could be the result of increased breakdown of red blood cells; the exact underlying mechanism cannot be elucidated so simply. More elaborate information (physical examination, family history, the results of other relevant tests) is necessary.
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