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What Causes Presence Of Bilirubin In Urine?

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Posted on Tue, 29 Dec 2015
Question: I have bilirubin in my urine verified by seimens ictotest. My blood bilirubin is normal. I read that bilirubin in urine is an early sign of liver disease. I was an alcoholic for 35 years.
Can you help me?
doctor
Answered by Dr. Muhammad Hanif (2 hours later)
Brief Answer:
Yes, normally there is no bilirubin in urine !!!

Detailed Answer:
Thanks for consulting and your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and well realize all those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.


Bilirubin normally is excreted in the stools. There is no bilirubin in urine. If there is bilirubin in urine that means whether there is hepatic disease like cirrhosis or hepatitis OR there is any blockage in the flow of Bile in the liver and gallbladder bile vessels that carry bile from liver to the gallbladder and then to the small intestine (hepatobiliary system).

There is another chemical named Urobilinogen that is made after the breakdown of bilirubin in body. It is also excreted via stools and not present in urine. Its presence in urine is again indicative of the same reasons as discussed above.

Final suggestion:-
Consult a Gastroenterologist for proper evaluation and management. He will start you from taking history including drinking and smoking history. Then he will have to run a battery of diagnostic tests on you to confirm the diagnosis and to see what is causing this bilirubin in urine. Treatment goes accordingly after reviewing the test results.


Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you. Please don't forget to give 'Five star rating' (if agreed) to help me assist patients in a better way; and, please don't forget to click on 'Close This Discussion'.
For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).


Regards!
DR. HANIF
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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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What Causes Presence Of Bilirubin In Urine?

Brief Answer: Yes, normally there is no bilirubin in urine !!! Detailed Answer: Thanks for consulting and your trust in HCM means a lot to me as a Physician. I have completely reviewed your health query, and well realize all those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. Bilirubin normally is excreted in the stools. There is no bilirubin in urine. If there is bilirubin in urine that means whether there is hepatic disease like cirrhosis or hepatitis OR there is any blockage in the flow of Bile in the liver and gallbladder bile vessels that carry bile from liver to the gallbladder and then to the small intestine (hepatobiliary system). There is another chemical named Urobilinogen that is made after the breakdown of bilirubin in body. It is also excreted via stools and not present in urine. Its presence in urine is again indicative of the same reasons as discussed above. Final suggestion:- Consult a Gastroenterologist for proper evaluation and management. He will start you from taking history including drinking and smoking history. Then he will have to run a battery of diagnostic tests on you to confirm the diagnosis and to see what is causing this bilirubin in urine. Treatment goes accordingly after reviewing the test results. Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you. Please don't forget to give 'Five star rating' (if agreed) to help me assist patients in a better way; and, please don't forget to click on 'Close This Discussion'. For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time). Regards! DR. HANIF