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Bilirubin in urine problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, I'm a white male 41 yrs, 6ft 187lbs, great health. 93' diagnosed w/
hepatitus A. Ran its course for 18 wks and doc cleared me to go back to work. 10/2010 started to experience right lower back discomfort above buttock region only when sitting in upright position like a chair. When extended in supine position, discomfort would disappear. 1/10/2011 DOT physical revealed 3+ blood and 1+ protein during urine test. Started to worry why? Never seen a doc just researched on net.....could be normal? 2/21/2011 Sat for 27 hr @ truck stop, ate 2 bananas breakfast, chicken salad with 4 glasses ice tea @ 4pm, Whataburger @ 8 pm, cup of noodles afterwards; only sipped 1 bootle of water (16.9 oz) a;; day when usually drink 6 - 8+ bottles per day. While urinating @ 3 am, urine was a dark ice tea color (dark brown) After drinking 2 bottles water, urine was back to normal color. Again wondering why and searching the net for answers? Can you maybe explain if this could be a BIG DEAL or am I over reacting?
Doctor :   Hi
User :   Hi
Doctor :   It i sbetter if u can I ask me simple questions Eventhough I got the story
User :   What causes the dark tea colored urine as in my case?
Doctor :   the dark urine is from bilirubin in urine
Doctor :   u r still ecovering from hepatitis A
Doctor :   it takesa time
Doctor :   But because it is Hep A it will resolve completely
User :   NO. Is it normal for 3+ blood and 1+ protein to be inurine during test?
Doctor :   You can respeat the the Liver enzymes and see the enzymes now
Doctor :   and compare witht ht eprevious ones
User :   What causes the blood and protein in the urine?
Doctor :   There are different reasons
Doctor :   But is it microscopic test
Doctor :   ot strip test
User :   Does this represent a serious health risk?
Doctor :   U have not answred the above questions
Doctor :   Does the bllod in urine a microscopic test result
User :   ot strip test
Doctor :   or strip tets
Doctor :   If it is microscopic , how many RBCs / red cells are there under microscope
User :   they placed drops on a strip
Doctor :   Strip test is not reliable
User :   the nurse doing this may have faults and is not accurate
Doctor :   If u r really worried about blood in urine, get the urine microscopy
User :   ok,
Doctor :   Strip test is chemical test
Doctor :   The chemical test is inetrfered with bilirubin
Doctor :   Regarding proteins some proteins are common in urine
User :   back to the dark urine, is this still maybe a sude effect of hep A, after 18 yrs from diagnosis?
Doctor :   shalll I finish proteins
User :   yes
Doctor :   Again u may ask abt proteins
Doctor :   contaminated sample casue proteins
Doctor :   infections raise proteins
Doctor :   Take best sampel
Doctor :   and repeat urine analysis
User :   ok
Doctor :   As long as the creatinine in less then 1 it means utr kidneys are normal
Doctor :   \Now go ahead....
User :   What about the dark urine?
Doctor :   Dark urine urine is urobilinigen
Doctor :   bile derivatives are present in urine
Doctor :   when exposed to air the bile derivative turns dark
Doctor :   Do you follow?
User :   yes
Doctor :   Usually bile derivatives are absent in urine
Doctor :   liver completely etab=olises
User :   It would be wise to see my personal doc and have him redo the tests, correct?
Doctor :   But lver is effetcted these derivatives areescaped from liver metabolism and out opoured in kidney
Doctor :   no
Doctor :   there is no need
Doctor :   they are common after infection
User :   ok thanks
Doctor :   as long as you are clinically getting better get all lab profile at a time
Doctor :   like urine analsyis and liver enzymes after 2-3 weeks
Doctor :   but clinical imptovement is most imop
Doctor :   Are you eating
User :   I hardly ever get sick, not even the flu
User :   yes, I eat normal
Doctor :   good You are getting vbetter
Doctor :   Did I resolve ur queries?
User :   I can go for 30 hrs on 3-4 hours sleep usually
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