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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.
Biliary Colic Causes. There are many conditions that can cause biliary colic such as: 1  Gallstones. 2  Cholecystitis which can be due to excess cholesterol or bilirubin in the bile. 3  Chronic acalculous gallbladder disease where the mechanism for gallbladder emptying is impaired.fter a meal, bile is secreted from the gallbladder to the common bile duct where it goes into the small intestine and is mixed with partly digested food. An obstruction in its normal flow would cause spasms in the bile duct, an attempt to remove the cause of the blockage.