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Doctor insights on: Bilirubin Ketones

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Bilirubin (Definition)

Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more


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What can cause urine test to have small amounts of bilirubin, ketones & blood? Upper left abdomen pain/tenderness with nausea

What can cause urine test to have small amounts of bilirubin, ketones & blood? Upper left abdomen pain/tenderness with nausea

Pain and tenderness: There are a number of organs in or near the upper left abdomen. You need immediate attention. If your doctor cannot see you today please go straight to the nearest Emergency Room. ...Read more

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1month gray + dark green poop. Liver labs normal. Bilirubin+ketones in urine. Back+mid abdomen hurt, feel like vomiting. Dr said its normal?? Lost 5#

1month gray + dark green poop. Liver labs normal. Bilirubin+ketones in urine. Back+mid abdomen hurt, feel like vomiting. Dr said its normal?? Lost 5#

Second opinion?: With weight loss and nausea, I'd recommend a second evaluation. Perhaps you need an ultrasound or CT scan to look at your stomach. Ketones and bilirubin can appear wtih dehydration, so make sure you are drinking plenty of fluids. ...Read more

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Small bilirubin, trace ketones, 100 protein, lrg RBC, small leukocytes in urine? 2nd UTI in a month, results after I left office, is this normal?

Small bilirubin, trace ketones, 100 protein, lrg RBC, small leukocytes in urine?  2nd UTI in a month, results after I left office, is this normal?

Abn U/A: Not normal. Male or female? The trace ketones, small bili and protein suggests you have not eaten in a while, or mild DKA if DM. Repeat after 2-3 glasses of water. The RBC, trace leukocytes suggest period , UTI, renal or in females I see this with vaginitis from mycoplasma/ureoplasma, rarely in abd issues . i treat w/zithromax and flagyl . if protein persists needs eval for kidneys F/u w/ doc ...Read more

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My teen daughter has been sick with body aches, fever, nausea, fatigue, swollen neck glands and tonsils. Bilirubin and Ketones found in her urine.

My teen daughter has been sick with body aches, fever, nausea, fatigue, swollen neck glands and tonsils. Bilirubin and Ketones found in her urine.

Dehydration: Your daughter may have Infectious Mononucleosis. Need to have a Monospot blood test done. A CBC will show atypical lymphocytes also. Sice this is viral supportive treatment is advised. Rest, no contact sports, no roughhousing and plenty of hydration with electrolytes. Vitamins may be helpful for liver support. She needs a through exam and specific labs to diagnosis this. ...Read more

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I have a kidney stone but also have found Protein ketones bilirubin trace or small amounts. Is this caused by kidney stone?

I have a kidney stone but also have found Protein ketones bilirubin trace or small amounts. Is this caused by kidney stone?

Not most of it: A stone would not cause ketones and not much protein without causing bleeding. You need to take it up with your doctor, there may be a simple explanation, such as being starved may explain ketones. Regarding protein it is important to determine how much and go from there. ...Read more

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I'm 35 yrs old and i had my ursine tested. Came up positive for protein, leukocytes, bilirubin, blood and ketones. What can this be?

I'm 35 yrs old and i had my ursine tested. Came up positive for protein, leukocytes, bilirubin, blood and ketones. What can this be?

Not enough info: This could represent anything from vaginal discharge to a bladder infection to overt kidney disease. The ketones suggest that someone was feeling too sick to eat or drink for awhile. It may have been accompanied by a clean catch urine looking for a urinary tract infection. ...Read more

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Urine sample (with stringy floating white pieces) has TRACE bacteria and MODERATE leukocytes. No blood, nitrites, ketones, bilirubin. Diagnosis?

Urine sample (with stringy floating white pieces) has TRACE bacteria and MODERATE leukocytes. No blood, nitrites, ketones, bilirubin. Diagnosis?

That is probably a: normal looking urine, with some asymptomatic bacteriuria (presence of bacteria without causing infection). The long stringy white stuff is protein or casts that have polymerized in the urine. If you have symptoms of UTI, then you can be treated, but if not then you do not need immediate treatment. Repeat urinalysis for protein presence may be recommended at this time. ...Read more

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Urinalysis shows ketones bilirubin blood & urobilinogen. Back pain, kidney stones. Should I be worried?

Urinalysis shows ketones bilirubin blood & urobilinogen. Back pain, kidney stones. Should I be worried?

Yes: Get those kidney stones managed now. You may have other disease, diagnosed or not. It's normal to have 1+ urobilinogen. ...Read more

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Blood report 6 ykid AST 157, ALT, 129, LACTATEDEHYDROGENASE 802, BUN/CREAT RATIO 25.00,RAPID TYPHI IGM Protien,ketones,bilirubin detected. Typhoid?

Blood report 6 ykid  AST 157, ALT, 129, LACTATEDEHYDROGENASE 802, BUN/CREAT RATIO 25.00,RAPID TYPHI IGM Protien,ketones,bilirubin detected. Typhoid?

Definitely Possible: I'm assuming you've recently traveled to a place where typhoid is more common?Often we see high fever,feel weak,stomach pain, headache,decreased appetite,and flat rose-colored spots on the skin.CDC recommends having stool or blood tested for the presence of Salmonella Typhi for a definitive diagnosis.Your abnormal liver function tests are suspicious and IgM is highly suspicious.Start antibiotics ...Read more

Ketones (Definition)

Ketones are a class of organic molecules with a carbon atom double bonded ...Read more