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Doctor insights on: Ketones And Bilirubin In Urine

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Dr. Carrie Cannon
Board Certified, Family Medicine
27 years in practice
5M people helped
1

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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

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Dr. Marsha Davis
Board Certified
22 years in practice
65M people helped
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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


Dr. Marsha Davis
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22 years in practice
65M people helped
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Dr. Megan Debell
Board Certified, Family Medicine
13 years in practice
39K people helped
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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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Dr. Ed Friedlander
Board Certified, Pathology
38 years in practice
136M people helped
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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

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Dr. Marsha Davis
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Dr. Rex Mahnensmith
Board Certified, Internal Medicine
38 years in practice
9M people helped
5

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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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Dr. Milton Alvis Jr
Board Certified, Preventive Medicine
35 years in practice
18M people helped
6

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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

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Dr. Joseph Woods
Board Certified, Pathology
22 years in practice
8M people helped
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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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Dr. Farrah Ahmad
Board Certified, Internal Medicine
12 years in practice
193K people helped
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Dr. Michael Kleerekoper
Board Certified, Endocrinology
45 years in practice
4M people helped
9

9
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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Dr. Bradford Romans
Board Certified, Internal Medicine
31 years in practice
8M people helped
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I had a urine dipstick showing 3+bilirubin, 2+protein, trace of ketones, I've also been nauseated and the PA I saw said it was GERD, should I go to the ER, or try another dr, since I haven't been able to eat for 3 days, no vomiting no diarrhea, mild RUQ a

I had a urine dipstick showing 3+bilirubin, 2+protein, trace of ketones, I've also been nauseated and the PA I saw said it was GERD, should I go to the ER, or try another dr, since I haven't been able to eat for 3 days, no vomiting no diarrhea, mild RUQ a

GERD would not : cause these abnormalities in your urine.I would like to know what your liver enzymes are. Have you noticed any jaundice( yellowing of the white part of your eyes)?The protein in your urine should also be looked into with a serum Creatinine and BUN & a 24 hour urine to quantify the amount of protein being lost in the urine. You may want to discus this with your current doc or get a second opinion. ...Read more

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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


Ketones (Definition)

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


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Dr. Marsha Davis
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