Q: is it common to see high plasma free normetanephrine of 1.2 nmol (pf met < .20, w/ previous elevated total normet)? do you rule out pheo if a later urine normet is normal w/ pf normet of 0.65 nmol?

Pheo: Yes, this rules out pheo but consider hyperadrenergic syndrome.

Q: how elevated is 30mg/dl of protein in a urine test?

ANY LEVEL OF: Protein in the urine raises concerns. The more the worse of course. See your doctor please.

Q: what will cause my normetanesphrines and total metanesphrines to be elevated of my 24 hour urine test?

Pheochromocytoma: Urinary metanephrines are analyzed as a screening test for pheochromocytoma, a tumor of the adrenal gland that causes hypertension, often episodically. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2640466/.

Q: i have a slightly elevated rbc at 5.43 tera/l. slightly elevated ferritin 315 ug/l and a billirubin of 45 umol/l. no discomfort. urine is fine. ?

I'm not concerned: Just having a mild viral infection can concentrate your blood and raise your serum ferritin slightly. I wasn't surprised to see this was the case when i opened your question.

Q: 24 hour urine catecholamine for a pheo- if a person does not have an episode during the 24 hours would it still show elevated levels. if so how?

Usually, yes: A pheo usually secretes catecholamines continuously, so it is not usually necessary to time the collection. These catecholamines yield a lot of breakdown products (eg. metanephrines). However, in some circumstances, if there is a very high suspicion for pheo and the initial tests are negative, and the attacks are sporadic, a urine collection timed with the episode is reasonable.

Q: my 5 hiaa 24h urine test was abnormal elevated 41umol/24hr and i'm concerned as my doc did not explain what that means any help pls, normal is <32

Depends: Close enough to normal so may not mean anything. Why was it done? May be carcinoid syndrome or other endocrinologic tumor. Call him for more direction.

Q: what could cause slightly elevated creatinine in a 24hr urine catch? my blood showed 0.8 creatinine, but the 24hr catch showed 129 creatinine clearanc

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are normal, including creatinine clearance.

Question 1

should i be worried about elevated protein in my urine?

Accepted Answer

Yes: presence of protein in the urine is usually suggestive of underlying kidney disease. When the kidney filters get damaged the protein from blood tends to leak into the urine and causes further damage. 
most common causes are diabetes and high blood pressure. 
Please make appointment to see a kidney specialist.

Question 2

why is it i have white cells elevated in my urine yet when they do the urine culture nothing grows?

Accepted Answer

Other causes: Chlamydia, mycoplasma, and some possibly-immune bladder conditions can do this, and since you are a woman, there are always white cells in the vagina and doing the "clean catch" maneuver you're supposed to do for the urine is difficult or impossible. Don't forget TB or one of the obscure kidney diseases may also be considerations. Good luck, and correlate with your clinical findings.

Question 3

what causes elevated methylhistamine in spot urine? mine was 28.0 and normal range is 0-25. i've had systemic symptoms for years. is the result significant?

Accepted Answer

: Urine methylhistamine level can be high in many conditions, mainly related to disorders of systemic mast-cell activation, so the test result should be correlated with the clinical diagnosis based on your symptoms and signs. In general, a positive test is significant when it is consistent with the clinical findings. So what are your "systemic systems"?

Question 4

is it common to see high plasma free normetanephrine of 1.2 nmol (pf met < .20, w/ previous elevated total normet)?  do you rule out pheo if a later urine normet is normal w/ pf normet of 0.65 nmol?

Accepted Answer

Pheo: Yes, this rules out pheo but consider hyperadrenergic syndrome.

Question 5

how elevated is 30mg/dl of protein in a urine test?

Accepted Answer

ANY LEVEL OF: Protein in the urine raises concerns. The more the worse of course. See your doctor please.

Question 6

what will cause my normetanesphrines and total metanesphrines to be elevated of my 24 hour urine test?

Accepted Answer

Pheochromocytoma: Urinary metanephrines are analyzed as a screening test for pheochromocytoma, a tumor of the adrenal gland that causes hypertension, often episodically.
http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2640466/.

Question 7

i have a slightly elevated rbc at 5.43 tera/l. slightly elevated ferritin 315 ug/l and a billirubin of 45 umol/l. no discomfort. urine is fine. ?

Accepted Answer

I'm not concerned: Just having a mild viral infection can concentrate your blood and raise your serum ferritin slightly. I wasn't surprised to see this was the case when i opened your question.

Question 8

24 hour urine catecholamine for a pheo-  if a person does not have an episode during the 24 hours would it still show elevated levels. if so how?

Accepted Answer

Usually, yes: A pheo usually secretes catecholamines continuously, so it is not usually necessary to time the collection. These catecholamines yield a lot of breakdown products (eg. metanephrines).  However, in some circumstances, if there is a very high suspicion for pheo and the initial tests are negative, and the attacks are sporadic, a urine collection timed with the episode is reasonable.

Question 9

my 5 hiaa 24h urine test was abnormal elevated 41umol/24hr and i'm concerned as my doc did not explain what that means any help pls, normal is <32

Accepted Answer

Depends: Close enough to normal so may not mean anything.
Why was it done?
May be carcinoid syndrome or other endocrinologic tumor.
Call him for more direction.

Question 10

what could cause slightly elevated creatinine in a 24hr urine catch? my blood showed 0.8 creatinine, but the 24hr catch showed 129 creatinine clearanc

Accepted Answer

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are normal, including creatinine clearance.

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Doctor answers about:

Why would urine propionylglycine be elevated

A member asked:

Should i be worried about elevated protein in my urine?

A member asked:

Why is it i have white cells elevated in my urine yet when they do the urine culture nothing grows?

A member asked:

What causes elevated methylhistamine in spot urine? mine was 28.0 and normal range is 0-25. i've had systemic symptoms for years. is the result significant?

A member asked:

Is it common to see high plasma free normetanephrine of 1.2 nmol (pf met < .20, w/ previous elevated total normet)? do you rule out pheo if a later urine normet is normal w/ pf normet of 0.65 nmol?

A member asked:

How elevated is 30mg/dl of protein in a urine test?

A member asked:

What will cause my normetanesphrines and total metanesphrines to be elevated of my 24 hour urine test?

A member asked:

I have a slightly elevated rbc at 5.43 tera/l. slightly elevated ferritin 315 ug/l and a billirubin of 45 umol/l. no discomfort. urine is fine. ?

A member asked:

24 hour urine catecholamine for a pheo- if a person does not have an episode during the 24 hours would it still show elevated levels. if so how?

A member asked:

My 5 hiaa 24h urine test was abnormal elevated 41umol/24hr and i'm concerned as my doc did not explain what that means any help pls, normal is <32

A member asked:

What could cause slightly elevated creatinine in a 24hr urine catch? my blood showed 0.8 creatinine, but the 24hr catch showed 129 creatinine clearanc

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