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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this blood And Urine Test Result Mean?

Hi, I had my blood and urine analysis Done 2 years ago, and my urobilinogen level Was at 3.2 in the normal range, but at lowset level accepted. I did my blood and urine analysis 2 days ago And the level was in the normal range, but at highest level accepted. Question Is why from low to high? Alcohol consumption? Or fatty liver? Second question My PSA level is at 2 and is in normal range for a 46 year old, It was at 2.8 (2 years ago) I took propecia for 11 months and stopped it in July. Is this the reason it went down .8 Thank you
Mon, 19 Dec 2016
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General & Family Physician,  's  Response
Hello dear
I understand your concern
Urobilinogen is normally present in the urine in low concentrations (0.2-1.0 mg/dL or Bilirubin is converted to urobilinogen by intestinal bacteria in the duodenum.
Most urobilinogen is excreted in the faeces or transported back to the liver and converted into bile.
The remaining urobilinogen (Urobilinogen is present in increased concentrations in the urine in patients with cirrhosis, infective hepatitis, extravascular haemolysis, haemolytic anaemia, pernicious anaemia, malaria, and hepatitis secondary to infectious mononucleosis.
3-4 fold increase in urobillinogen have a clinical significance.
But highest level can be accepted and it has no clinical significance.
But you have to correlate it with the liver profile and complete hemogram test BECAUSE IN LIVE DISEASE THERE IS INCREASE urobillinogen in the urine.
So high urogenital could be due to liver disease like alcohol consumption, heaptitis, fatty liver.
So it should be correlated with the liver profile and other symptoms.

Normal PSA range is
Decreased level is could be due to propecia.
It help in the prostate enlargement by reducing the dihydrotestosterone (DHT) level

Hope this may help you
Best regards
Dr. Sagar

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What Does this blood And Urine Test Result Mean?

Hello dear I understand your concern Urobilinogen is normally present in the urine in low concentrations (0.2-1.0 mg/dL or Bilirubin is converted to urobilinogen by intestinal bacteria in the duodenum. Most urobilinogen is excreted in the faeces or transported back to the liver and converted into bile. The remaining urobilinogen (Urobilinogen is present in increased concentrations in the urine in patients with cirrhosis, infective hepatitis, extravascular haemolysis, haemolytic anaemia, pernicious anaemia, malaria, and hepatitis secondary to infectious mononucleosis. 3-4 fold increase in urobillinogen have a clinical significance. But highest level can be accepted and it has no clinical significance. But you have to correlate it with the liver profile and complete hemogram test BECAUSE IN LIVE DISEASE THERE IS INCREASE urobillinogen in the urine. So high urogenital could be due to liver disease like alcohol consumption, heaptitis, fatty liver. So it should be correlated with the liver profile and other symptoms. Normal PSA range is Decreased level is could be due to propecia. It help in the prostate enlargement by reducing the dihydrotestosterone (DHT) level Hope this may help you Best regards Dr. Sagar