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Doctor insights on: Hematuria Bilirubin

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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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Blood work shows bilirubin at 1.9mg/dl (direct 0.4mg/dl) creatine kinase of 421 u/l. Urinalysis shows micr hematuria 5-10 rbc/hpf. What could it be?

Blood work shows bilirubin at 1.9mg/dl (direct 0.4mg/dl) creatine kinase of 421 u/l. Urinalysis shows micr hematuria 5-10 rbc/hpf.  What could it be?

Need more info.,,: It would be best to get more tests/info. Before deciding exactly what this is. It looks like there is a red cell destruction process going on from the bilirubin breakdown, but the hematuria and ck result could mean kidney and/or muscle injury. So it'd be wise to see your doctor soon to get more tests if you haven't had them to be sure. Best of luck. ...Read more

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Have lupus. Moderate microscopic hematuria x months though NO RBC in urine, trace ketones in urine,otherwise normal UA. Total bilirubin 1.6. Thoughts?

Hemolysis: Lupus is sometimes associated with red cell hemolysis. You may be having this phenomenon. Hemolysis can explain blood in urine and elevated bilirubin. However, you need to discuss the matte with your doctor. ...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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Is it ok to have hematuria for over 7 months?

Is it ok to have hematuria for over 7 months?

Here are some ...: For someone at 50, hematuria alone should incite personal concern and professional urge to initiate a comprehensive evaluation; don't wait but go to see urologist now. As to being okay or not for 7 months, that depends the degree and duration of bloody urine. For usual healthy persons, they can tolerate a blood loss of 45 cc daily without much negative impact to red blood cell counts. Go... ...Read more

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What is iga hematuria?

What is iga hematuria?

IgA Nephropathy: Jack: IgA nephropathy is inflammation of kidneys where immunoglobulin IgA deposits in the renal system - patients experience hematuria - blood in urine. The cause is unknown. The kidneys function well however, in some people there is progression to worsening disease. A kidney specialist must oversee care. Sometimes, IgA nephropathy can be is assoc. with rheumatic disease like Ank. Spondylitis. ...Read more

Dr. Michael Michaels
611 doctors shared insights

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


Dr. Michael Michaels
526 doctors shared insights

Urinary Bleeding (Definition)

Urinary bleeding is blood that appears in ...Read more