The connection between bilirubin and urine color lies in the body's waste elimination process. Bilirubin, when processed by the liver, is excreted into bile, which eventually enters the small intestine. From there, it may be eliminated from the body through the feces or, in small amounts, through the urine. When bilirubin is present in urine, it can give the urine a dark or amber color. Elevated bilirubin levels, especially direct bilirubin, can result in darker urine, which may be one of the symptoms observed in conditions like liver disease or bile duct obstruction. Changes in urine color can be an indicator of underlying health issues and should be discussed with a healthcare provider for proper evaluation.