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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.
By Mayo Clinic Staff. Bile reflux occurs when bile â a digestive liquid produced in your liver â backs up (refluxes) into your stomach and the tube that connects your mouth and stomach (esophagus). Bile reflux may accompany acid reflux, the medical term for the backwash of stomach acids into your esophagus. However, bile acid reflux and acid reflux are separate conditions. Whether bile is important in reflux is controversial.