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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does darker urine indicate sign of jaundice?

Hi doc. I have some question. My brother has diagnosed NAFLD one and half month ago on his annual MCU. It diagnosed by high level of Triglyceride, cholesterol and his SGPT/SGOT is twiced from highest normal level. He treated with simvastatin, fenofibrate and curcuma and suggested to change his diet. As he started to chage eating habit from hi-carb (hi amount of white rice per eat) and fat (deep fried things, meat etc) to more healthy diet as suggested (he reduce and or change rice to boiled potato and no oil or fat, he also eat a lot of green vegs and some fruits) he starting lose weight until now. His cholesterol and triglycerides are back to normal and his SGPT SGOT are start to set back to normal level, although his PT level are still 7 points higher from upper normal level when he checked 2 days ago. Because he have to do ramadhan fasting (yes he is muslim) he started to worry when he see his urine get more darker than usual especially when he just finishing his fast. He really concerned whether he got jaundice or not. So here is my questions. Can we get jaundice when our SGOT/PT level is normal or slightly high (like my brother case)? Is his darker urine is sign of jaundice or just lack of hydration as he doing fasting (start from 4.30 to 18.00) ? He also tell me that after he drinks plenty of water, his urine start to have normal color. is there any other signs to check is he get jaundice or not? And what the differences high concentrated urine and dark urine from jaundice? Thanks in advance.
Wed, 2 Nov 2016
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General Surgeon 's  Response
Hello and thank you for asking HCM.
I read carefully all your concerns about your brother.
Jaundice is a symptom caused by high levels of bilirubin,so yes someone can have jaundice with normal or slightly hight lvl of SGOT/PT. But don't worry i don't think that your brother has any problem. If someone has problems with the liver or the common bile duct (stones) you get a lot of other symptoms not only darker urine. Your skin is yellow,also if you see that person in the eyes, the iris (white part of the eye) turns yellow. So i think your brother has that darker urine only due to dehydration. After the ramadhan fasting he will have no problems at all.

Feel free to contact me any time.
Dr.Endri Katro
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Does darker urine indicate sign of jaundice?

Hello and thank you for asking HCM. I read carefully all your concerns about your brother. Jaundice is a symptom caused by high levels of bilirubin,so yes someone can have jaundice with normal or slightly hight lvl of SGOT/PT. But don t worry i don t think that your brother has any problem. If someone has problems with the liver or the common bile duct (stones) you get a lot of other symptoms not only darker urine. Your skin is yellow,also if you see that person in the eyes, the iris (white part of the eye) turns yellow. So i think your brother has that darker urine only due to dehydration. After the ramadhan fasting he will have no problems at all. Feel free to contact me any time. Dr.Endri Katro