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Doctor insights on: Ketones And Bilirubin In Urine

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Dr. Carrie Cannon
Board Certified, Family Medicine
28 years in practice
6M people helped
1

1
Specific Gravity URN 1.031 Ketone Urine (Trace) Bilirubin Urine (small) what could possibly cause the above? My doctor recommends for ultrasound exam

Dr. Carrie Cannon
Board Certified, Family Medicine
28 years in practice
6M people helped
Specific Gravity URN 1.031
Ketone Urine (Trace)
Bilirubin Urine (small)
what could possibly cause the above? My doctor recommends for ultrasound exam

Almost normal urine: Must be other reasons for the ultrasound recommendation. The urine results aren't very abnormal. It could result from mild dehydration overnight and fasting. Small bilirubin can be a false positive. What kind of ultrasound? Bladder residual volume? R/O renal artery stenosis? Kidney? ...Read more

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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. Zachary Veres
Board Certified, Family Medicine
13 years in practice
15M people helped
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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. Megan Debell
Board Certified, Family Medicine
14 years in practice
44K people helped
3

3
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#

Dr. Megan Debell
Board Certified, Family Medicine
14 years in practice
44K people helped
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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Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
4

4
Urine analysis - detected (trace) ketones and bilirubin (detected trace) means what?

Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped

Nothing: Especially if you're hungry, you can have +1 ketones and it's normal. You say you have cirrhosis and it is no surprise if you've got a bit of extra conjugated bilirubin in your blood spilling into your urine. I hope the cirrhosis can be addressed; if it's hepatitis C, perhaps you can get a cure with today's meds; if alcohol, perhaps abstinence can reverse it. Be strong & stay proactive. ...Read more

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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
5

5
I have protein (0.15 g/L),ketones (0.5 mmol/L),urobili (3.5 umol/L) and bilirubin(17 umol/L) in my urine. Should i be worried? please help!.

Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped

Urine studies: These do not indicate disease. All of us have a little protein, bilirubin, and urobilogen in our urine. These amounts are very little. Ketones indicate fasting or alcohol without eating or diabetes out of control. Ketones are not usual, but if fasting, then are good. Were you fasting? ...Read more

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Dr. Milton Alvis Jr
Board Certified, Preventive Medicine
36 years in practice
22M people helped
6

6
Hello my urine test found positive in ketone and bilirubin and also had 20mg ascorbic acid.Can i know what are the problem about this?

Dr. Milton Alvis Jr
Board Certified, Preventive Medicine
36 years in practice
22M people helped
Hello my urine test found positive in ketone and bilirubin and also had 20mg ascorbic acid.Can i know what are the problem about this?

Not Necessarily Any: Ketones are a byproduct of burning fat, they are healthy ; not a problem if not very high. Bilirubin, a breakdown product of hemoglobin, mostly cleared by liver but some people do not clear as well ; some is cleared through kidneys; get liver function test results to help evaluate. Ascorbic acid is vitamin c, a water soluble vitamin, ; likely spilling into urine if you are taking lots of vitamin c. ...Read more

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Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped
7

7
Took a urine test in class today and came out with Bilirubin Small+ and with Ketone trace -5 should I be worried ? I'm near my period could that be

Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped
Took a urine test in class today and came out with Bilirubin Small+ and with Ketone trace -5 
should I be worried ? I'm near my period could that be

Why was urine checke: It helps us to know your medical history? The results of your urine are OK except you said something is ? 5? what was that? Please clarify. ...Read more

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Dr. John cuong Doan
Board Certified, Family Medicine
13 years in practice
129K people helped
8

8
Urine sample (with stringy floating white pieces) has TRACE bacteria and MODERATE leukocytes. No blood, nitrites, ketones, bilirubin. Diagnosis?

Dr. John cuong Doan
Board Certified, Family Medicine
13 years in practice
129K people helped
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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Dr. Rebecca Gliksman
Board Certified, Internal Medicine
33 years in practice
2M people helped
9

9
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?

Dr. Rebecca Gliksman
Board Certified, Internal Medicine
33 years in practice
2M people helped

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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Dr. Joseph Woods
Board Certified, Pathology
23 years in practice
8M people helped
10

10
Seen urologist tues. Blood in urine, abnormal ketones, specific gravity, and bilirubin. Wasn't treated. Still having symptoms. Should i go to the er?

Dr. Joseph Woods
Board Certified, Pathology
23 years in practice
8M people helped
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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Dr. William Forsythe
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