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Doctor insights on: Urine Bilirubin

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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


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Effect of medicine on lipid profile and routine urine, bilirubin test.

Yes: Many medications affect lipid profile such as diuretics. Also they can affect the bilirubin. Ask your doctor to review your meds. ...Read more

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Dealing with Blood in Urine (Checklist)

Rule out infection as a cause with a urinalysis or culture
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Ask your doctor to review your medications to identify cause
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Rule out kidney stones with your doctor
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If male, schedule a prostate exam
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I am on methotrexate. Labs say that albumin/globulin and anion gap are low with bilirubin in urine. Should I be worried?

I am on methotrexate. Labs say that albumin/globulin and anion gap are low with bilirubin in urine. Should I be worried?

Yes: Your physician knows how to handle this. Managing patients on Methotrexate is a matter of weighing the benefits in treating the illness against the predictable danger to the liver. The bilirubinuria is more specific for a liver problem. Trust your physician on this; I trust you stay physically fit and do not use alcohol. ...Read more

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Effect of medicine on lipid profile and routine urine, bilirubin test.

Yes: Many medications affect lipid profile such as diuretics. Also they can affect the bilirubin. Ask your doctor to review your meds. ...Read more

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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.

Lab error: If your serum conjugated bilirubin is normal, this result is an error. Your physician may want to give the pathologist at the lab a call. ...Read more

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Dark cloudy urine and high bilirubin (31) young man What is the cause? No other symptoms...

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

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Blood test shows élévated bilirubin, urine test négative for bilirubin. Any explanation??

Unconjugated: Bilirubin exists in the blood in both the conjugated and Unconjugated forms. Only the conjugated can enter the urine. If you feel well, and this is new, you very likely have Gilbert's non-disease. Best wishes. ...Read more

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Being treated for hypothyroid after case of thyroiditis. TSH was 94+ at last check. Urine-protein, blood & bilirubin & creat 1.39. EGFR 45. Weight gain, blurry vision also. Ideas?

Being treated for hypothyroid after case of thyroiditis. TSH was 94+ at last check. Urine-protein, blood & bilirubin & creat 1.39. EGFR 45. Weight gain, blurry vision also. Ideas?

See doctor, now: You have a number of issues that need attention. A TSH of 94 warrants thyroid replacement treatment. A EGFR of 45 needs evaluation by a nephrologist. Your weight gain may be due to thyroid deficiency. Cannot comment on blurry vision without examining you. Please see your doctor at the earliest. ...Read more

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What foes bilirubin in urine mean?

Liver disease: Presence of bilirubin in the urine is an indication of liver disease and especially obstruction to the flow of bile. See this site for more info.
http://www. Nlm. Nih. Gov/medlineplus/ency/article/003595.htm. ...Read more

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What does 2+ bilirubin in urine mean?

Liver disease: Increased bilirubin in blood or urine suggests either increased release from destruction of red blood cells (hemolysis) or liver disease. More accurate testing (measure in serum) is needed ...Read more

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What does 2 bilirubin in urine mean?

What does 2 bilirubin in urine mean?

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

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What are normal levels of bilirubin in urine?

Bilirubin in urine: None. Any bilirubin in urine can indicate liver problems. ...Read more

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Is a low level of bilirubin in urine normal or not?

Normal: Low level of bilirubin in blood or urine is not a cause for concern. ...Read more

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Hi doctors I was wondering how can you tell if there's bilirubin in urine by sight?

Not reliable: The brown color may be distinctive to experienced eyes, and if the foam is more yellow than is common from ordinary mucus bubbles, it suggests bilirubin. If there is bilirubin visible in the urine, a yellow tinge to the sclera (early jaundice) is to be expected -- look in the sunlight. And if you must ask, a physician consult is in order. ...Read more

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Is it normal to have 1mg of bilirubin in urine? I was diagnosed with gilbert's disease

Is it normal to have 1mg of bilirubin in urine? I was diagnosed with gilbert's disease

No: A urine test should be negative for bilirubin. There are certain diseases that caused bilirubin to be increased including hepatitis, liver disease, jaundice. Urine will generally be dark yellow with foam. Pyridium, (phenazopyridine) a medication used often for urinary tract infections, can cause a false positive bilirubin. If you have specific concerns, you should see your family practice physician. ...Read more

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What causes presence of bilirubin in urine? What other lab. Test to confirm it, ?

Liver / bile duct: Conjugated bilirubin produced by the liver cells is getting released from the cells into the bloodstream rather than the bile ducts, or the bile ducts are sending it back into the bloodstream. Unless this is a lab error, your blood work will also have elevated conjugated bilirubin. This may be a minor problem witih your own metabolism, a medication effect or serious illness. ...Read more

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I have slightly elevated bilirubin, my urine showed trace amounts of blood, and I have muehrcke's nails. How worried should I be?

I have slightly elevated bilirubin, my urine showed trace amounts of blood, and I have muehrcke's nails. How worried should I be?

Elevated bilirubin: You may have g ilbert syndrome which can cause hypoalbuminemia which in turn can cause softening of your nails and muehrcke's nails. ...Read more

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I have slightly elevated bilirubin, my urine showed trace amounts of blood, and I have muehrcke's nails. How worried should I be?

Concerning: Muehrcke's lines of the nails are indicative of decrease protein synthesis. It is alo called leukonychia striata. With concomitant elevated bilirubin and hemturia, this can indicate conditions relating to liver or biliary conditions, metabolic stress, nephrotic condition, other systemic disease or malnutrition. ...Read more

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Keep having bilirubin in urine. Cmp always normal other than elevated total bilirubin, was diagnosed with gilbert's disease. What else to do?

Other idea: If you've got bilirubin in the urine, chances are you have a conjugated hyperbilirubinemia (dubin-johnson / rotor / something else equally banal) rather than gilbert's. Many physicians like to lump these together but they're all generally trivial. Get an exact diagnosis from a gastroenterologist if you wish. ...Read more

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I have protein, blood and bilirubin in urine. Can it be related to hysterectomy done two months ago? All pre op labs were negative in dec as well.

I have protein, blood and bilirubin in urine. Can it be related to hysterectomy done two months ago? All pre op labs were negative in dec as well.

Not likely: These are very common nonspecific findings in urine. It could represent an infection and likely represents nothing. It would not be related to a hysterectomy. Follow your doctors advice if they felt further testing was needed. ...Read more

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I am on methotrexate. Labs say that albumin/globulin and anion gap are low with bilirubin in urine. Should I be worried?

Yes: Your physician knows how to handle this. Managing patients on Methotrexate is a matter of weighing the benefits in treating the illness against the predictable danger to the liver. The bilirubinuria is more specific for a liver problem. Trust your physician on this; I trust you stay physically fit and do not use alcohol. ...Read more

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Why are the whites of my eyes discolored in some areas, especially between eyelid? Yellow spots not raised. Not jaundiced - no bilirubin in urine.

Why are the whites of my eyes discolored in some areas, especially between eyelid? Yellow spots not raised. Not jaundiced - no bilirubin in urine.

Yellow conjunctiva: Hmmm. All of my eyes are between my eyeliner. Need good picture. Recommend you ask your Dr to look and tell about your concern. You can also google yellow spots on conjunctive and look at images to see if you can match up. But better to show to your Dr. ...Read more

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Urine test positive for bilirubin but blood tests fine, dull ache in pelvis after urinating. Connection? Any meaning if basic bloodtests ok? Ana, ssa+

Follow up: Bilirubin in urine may be a lab error and is of no use if your routine direct bilirubin on your chem profile is normal. If high, it may be medication sensitivity, A mild birth defect or some other cause. ...Read more

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Does small amounts of bilirubin show up in urine if I haven't eaten in two days?

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

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