How does high albumin affect the liver

Bilirubin and albumin

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Bilirubin is produced when red blood cells are broken down. More precisely: it is a breakdown product of the red blood pigment. In the liver, bilirubin is converted into its water-soluble form. So it can be excreted with the bile through the intestines.

The bilirubin value can therefore be used to measure how well the breakdown product of the red blood cells is excreted via the liver. Values ​​that are too high indicate inflammation of the liver (hepatitis), chronic liver dysfunction such as cirrhosis or liver cell cancer or biliary obstruction. The bile congestion can occur as a result of inflammation in the bile ducts or an obstruction to drainage.

Normal values ​​for bilirubin

Adult people should have between 0.1 and 1.2 milligrams of bilirubin per deciliter of blood. For children older than a month, the value should be between 0.2 and 1.0 mg / dl. However, these values ​​depend on the measurement method. Values ​​that are too low have no disease value.


Albumin is a protein that carries bilirubin to the liver via the bloodstream. It is also important to maintain tissue pressure and ensure fluid exchange. If there is not enough albumin, fluid leaks from the blood vessels into the tissue and causes ascites.

Albumin is mainly produced in the liver - around twelve grams a day. Albumin values ​​that are too low therefore indicate that the liver can no longer work properly, for example as a result of liver cirrhosis or another chronically progressive process. However, the values ​​can also be too low in the case of kidney disease, diarrhea or hunger.
  • Author: editorial team: Beatrix Deiss, medical editor; Christina Wiener, medical editor
  • Swell: Internists on the net: Blood count - Explanation of albumins & globulins:
  • Internists on the net: blood count - explanation of bilirubin: