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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.
When the amount of bile salts is significantly reduced or they are absent, the stool can be pale yellow or grey. Liver disease can interfere with bile salt production, and anything that blocks the bile ducts can prevent bile salts from reaching the intestines. Fats can also cause the stool to be yellow. Excess fat in the stool can be due to decreased fat digestion, which can occur with conditions involving the pancreas or decreased absorption in the intestines, which can occur with some intestinal conditions.