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It is metabolized in the liver and excreted into the bile ducts. It becomes a component of bile, a fluid that is secreted into the intestines to aid in food digestion. Bilirubin is a yellow pigment that causes jaundice and dark yellow colored urine when present in increased amounts. Some people normally have higher bilirubin in their blood.
Blood in Urine Causes. 1  Infection: Blood in the urine can be a sign of urinary tract infection (UTI). An infection can be present in the lower urinary tract (bladder and urethra) or higher in the urinary tract (kidneys or ureters).  Nephrolithiasis: Kidney or bladder stones may form inside the urinary tract and can cause bleeding into the urine.