Why bilirubin is increased in Haemophilia?

Bilirubin levels can be increased in hemophilia due to the frequent bleeding episodes experienced by patients. When bleeding occurs, the breakdown of red blood cells and hemoglobin can lead to an increase in the production of bilirubin, a byproduct of hemoglobin metabolism. Additionally, complications such as liver dysfunction from repeated hemorrhages may further impair bilirubin clearance, contributing to elevated levels in the blood.