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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.
Many things: Blood in urine can be from minor to major causes. Tumors, infections, inflammation, medications, ruptured vesses in the urinary system all can cause blood in the urine. A single drop of blood in a cup of urine can turn the urine red. If you suspect blood in your urine, get seen by your pcp or urologist and find the cause. Don't delay.