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Doctor insights on: Ketones And Bilirubin In Urine

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

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

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

Dr. Shontae Buffington
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11 years in practice
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Urine analysis - detected (trace) ketones and bilirubin (detected trace) means what?

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

Dr. Shontae Buffington
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Dealing with Blood in Urine (Checklist)

Rule out infection as a cause with a urinalysis or culture
Once
Ask your doctor to review your medications in case one is the cause
Once
Rule out kidney stones with your doctor
Once
If male, schedule a prostate exam
Once
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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!.

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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Dealing with Blood in Urine (Checklist)

Get urinalysis with a mid-stream catch
Once
Visit PCP or urologist
Once
Follow up with urologist
Once
Note other symptoms, related medical history
Once
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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?

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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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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Dealing with Blood in Urine (Checklist)

Go to your PCP have a complete exam urinalysis, a culture sensitivity.
once
If all exams are normal, make a habit to drink a lot of water.
once
Request regular urine checks to see if the blood in your urine persist
once
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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?

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

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

Ketones (Definition)

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

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Dr. Shontae Buffington
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