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bertse bertse
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11 years ago
or does the bilirubin just float in the blood forever because it can't get conjugated or it cant pass because theres an obstruction in the bile ducts?
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adashineadashine
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11 years ago
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wrote...
11 years ago
Once the obstruction that's giving the stool an abnormal "chalky" color is relieved, the stool color will return to normal.
wrote...
11 years ago
The direct answer to your question is that the bile isn't flowing into the gut as it normally should. The origin of the elevated conjugated bilirubin is liver obstruction cholestasis which gets put into the blood circulation and excreted through the urine. The  conjugated direct bilirubin is water soluble and thus it is passed into the urine.

The clue is chalky gray or white stool coupled with a dark yellow urine is indicative of cholestasis common for hepatitis etc.
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