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Doctor insights on: Elevated Bilirubin Blood In Urine

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I have slightly elevated bilirubin, my urine showed trace amounts of blood, and I have muehrcke's nails. How worried should I be?

I have slightly elevated bilirubin, my urine showed trace amounts of blood, and I have muehrcke's nails.  How worried should I be?

Elevated bilirubin: You may have g ilbert syndrome which can cause hypoalbuminemia which in turn can cause softening of your nails and muehrcke's nails. ...Read more

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Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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I have slightly elevated bilirubin, my urine showed trace amounts of blood, and I have muehrcke's nails. How worried should I be?

Concerning: Muehrcke's lines of the nails are indicative of decrease protein synthesis. It is alo called leukonychia striata. With concomitant elevated bilirubin and hemturia, this can indicate conditions relating to liver or biliary conditions, metabolic stress, nephrotic condition, other systemic disease or malnutrition. ...Read more

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UA Results: I have Small (1+) Bilirubin, Large amounts of Ketones (80 and 160 mg/dL), and trace-hemolyzed blood in urine. Should I be concerned?

Urine tests: 29F of unknown ethnicity and medical history from US notes urine + Bilirubin Ketones and trace blood. Asks should I be concerned? ANS: Yes so ask the Dr. who did the tests as "concern" would be based on why tests were done based on what they know about your medical Hx, condition, meds etc. ...Read more

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Seen urologist tues. Blood in urine, abnormal ketones, specific gravity, and bilirubin. Wasn't treated. Still having symptoms. Should i go to the er?

Yes/see Dr. first.: It's a good idea to get treatment urgently for this. You have blood in your urine, which can mean trauma, malignancy, infection, or something else. Your ketone reading can indicate diabetes, even an acute diabetic episode, and bilirubin can mean liver or gallbladder involvement, or destruction of red blood cells. You need more tests so see your doctor and arrange to go to the er/hospital asap. ...Read more

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Why does strenuous exercise lead to elevated bilirubin level in blood?

Why does strenuous exercise lead to elevated bilirubin level in blood?

Hemolysis: Very strenuous exercise that involves pavement-pounding can destroy enough red blood cells that the bilirubin and reticulocyte counts go up. As a pathologist, i'm always reminding folks to look at the person, not the numbers. If your bilirubin's up and it's not jogger's hemolysis or gilbert's, try to find the cause with your physician's help. ...Read more

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Can polycythemia vera cause elevated bilirubin blood levels?

Can polycythemia vera cause elevated bilirubin blood levels?

To the extent that: P vera would be associated with increased rbc turnover, a modest increase in bili is possible. However, the disease is one of proliferation more than destruction, so if the bili is quite high we need to evaluate. ...Read more

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Doctor found elevated bilirubin 32.0 in blood, diagnosed gilberts syndrome without further investigating isn't it true that elevated bilirubin can he?

Gilbert's: Bili can be elevated for a large number of reasons, but elevations of unconjugated bili without other findings and a long Hx of mild elevations of unconj bili can likely be attributed to Glilberts. The presence of other comorbid conditions or symptoms negates this. ...Read more

Dr. Michael Michaels
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Blood In Urine (Definition)

Hematuria is the presence of blood in the urine. When you can see the blood, it's called gross hematuria. When the blood can only be seen under a microscope it is known as microscopic hematuria. Hematuria can be caused by kidney stones, kidney infections, urinary tract infections, an enlarged prostate, cancer, certain medications, and ...Read more


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