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What Does My Urine Analysis Report Indicate?

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Posted on Thu, 16 Nov 2017
Question: My doctor just ran some labs on me but is out of town for a bit. Can someone speak to the following out of range values on a Chem 14 Panel lab (cpt 80053) as pointing towards any possible medical conditions?

BUN: 3, Reference range 6-21 mg/dL

BC Ratio: 4.3, Reference range 7.3-21.7

T. Protein: 5.6, Reference range 5.9-8.2 g/dL

Globulin: 1.6, Reference range 2.2-4.2 g/dL

Ag Ratio: 2.5, Reference range 1.0-1.6

I also had a slightly low value on a urinalysis: SP. GRAV. of 1.004 on a reference range of 1.005-1030.

Amendment:Urinalysis SP. GRAV. reference range is 1.005-1.030 NOT 1.005-1030.
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Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Lab results information

Detailed Answer:
Hello XXXXXXX

Lab tests are best evaluated in the context of why they were ordered, what health problems or medications a person has or has been taking, and how the results compare with those in the past.

Certain things I can tell you:

The specific gravity on a urine test reflects how dilute the urine is. So a specific gravity of 1.004 is fine and just means you drank more prior to the test so the urine is very slightly diluted.

BUN (blood urea nitrogen) reflects the blood prior to it's filtration by the kidneys. A low BUN in an otherwise healthy person is usually due to dilution from having drunk more prior to having your blood drawn.

The BC ratio (BUN to creatinine ratio): The BUN is in the numerator. If thats low, which yours is, then it will make the ratio low.

Your total protein is on the low side but just barely. This can be due to inadequate diet, malabsorption such as from Celiac disease, or other reasons. Best to discuss this with your doctor, but I wouldn't consider this cause for worry as it is just barely on the low side.

AG ratio means albumin to globulin ratio. These are 2 types of blood proteins. Given that your globulin is low, that will affect the AG ratio. I suggest following up with your doctor on this but it doesn't mean that there is necessarily a significant problem.

I hope this information helps.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Does My Urine Analysis Report Indicate?

Brief Answer: Lab results information Detailed Answer: Hello XXXXXXX Lab tests are best evaluated in the context of why they were ordered, what health problems or medications a person has or has been taking, and how the results compare with those in the past. Certain things I can tell you: The specific gravity on a urine test reflects how dilute the urine is. So a specific gravity of 1.004 is fine and just means you drank more prior to the test so the urine is very slightly diluted. BUN (blood urea nitrogen) reflects the blood prior to it's filtration by the kidneys. A low BUN in an otherwise healthy person is usually due to dilution from having drunk more prior to having your blood drawn. The BC ratio (BUN to creatinine ratio): The BUN is in the numerator. If thats low, which yours is, then it will make the ratio low. Your total protein is on the low side but just barely. This can be due to inadequate diet, malabsorption such as from Celiac disease, or other reasons. Best to discuss this with your doctor, but I wouldn't consider this cause for worry as it is just barely on the low side. AG ratio means albumin to globulin ratio. These are 2 types of blood proteins. Given that your globulin is low, that will affect the AG ratio. I suggest following up with your doctor on this but it doesn't mean that there is necessarily a significant problem. I hope this information helps.