Doctor insights on:
Positive Bilirubin In Urine
Recently tested positive for bilirubin in my urine was small to moderate. I am on methadone and I drank in college but not a lot. Should I be worried?
SEE GASTROENTEROLOGY: Any bilirubin in urine is pathological, and you need to have full evaluation of liver function. This could be a medication rxtn, but could also represent mild hepatitis, but even conceivably, a laboratory error which should be rechecked. With your history of complexities, best you get this addressed soon. ...Read more
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
Blood work all normal but urine showed bilirubin at a + Doctors not concerned though this is the second urine test on it as both tested positive.
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
Test positive w/ dip stick bilirubin in your urine? What doctor do you follow up w/ & what test do they do? Side ache/back ache/left pelvic ache.
Bilirubin: The dip stick tests are not that reliable for this. If you are concerned and your doctor is concerned, you could follow up with a gastroenterologist. ...Read more
My lab results are as follows. Total bilirubin 3 and direct 0.7. SGPT is 62 and total protein 8.8 and globulin 4.7. Urine test positive klebsiella.
Might be: I would see a specialist ie gastroenterologist or your primary doctor for further investigation ...Read more
Yes it can be: Bilirubin is a pigment associated with the liver/hepatic system and red blood cells (especially hemolysis or breaking of them since bilirubin is found in them). Bilirubin causes jaundice and dark urine. Tests can be done to distinguish the source (conjugated vs unconjugated). Also need to look at other abnormal tests, history/exam would also be very important. Be sure to follow up with your doctor. ...Read more
It still might.: High bilirubin can come from hemolysis of red cells, liver damage, or gallstones. So if a lot of your red cells are being destroyed, or you have a liver issue like cirrhosis, or hepatitis, or a history of gallstones, you can have at least some bilirubin in your urine, even if you didn't eat. In fact, not eating might cause it due to the liver using your reserves. If it persists, see your doctor. ...Read more
I would not worry: Most people have one ehrlich unit, the scale goes up to ten, and an athlete often has some hemolysis (just from feet pounding the pavement ('runner's hemolysis'). If your routine labs are otherwise normal, and your personal physician isn't concerned, I wouldn't be either. Hemolysis -- recycling red cells early -- raises urinary urobilinogen. ...Read more
High bilirubin: Dark colored urine and increased bilirubin may be due to some form of hepatitis. Usually it's accompanied by right upper abdominal pain and jaundice-yellow sclera of the eyes. Stool may turn pale clay color. There are multiple causes of hepatitis: viral, obstructive due to blockage in a gall bladder or from some medications. You need to see a doctor for further blood work and abdominal sonogram ...Read more
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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