How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Robert Your Own Question

Dr. Robert
Dr. Robert, Doctor
Category: Medical
Satisfied Customers: 6680
Experience:  M.B.B.S, Experienced Family Physician
8493425
Type Your Medical Question Here...
Dr. Robert is online now

I have urinalysis dipsticks at home and when doing one because

Customer Question

I have urinalysis dipsticks at home and when doing one because I am having urine infection symptoms, the dipstick showed leukocytes, protein and confusingly a small amount of bilirubin. Do you think that this is anything to worry about? I have had this show up before but nobody has said why or if I should be worried. Any advice?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Robert replied 1 year ago.
Hello,
Dear customer
Welcome back to justanswer.com and thank you for your question.
I can understand your concern. I will do whatever I can to help answer your questions:
The amount of conjugated bilirubin present in serum in healthy subjects is small (less than 10% of total bilirubin).An elevated level of conjugated bilirubin only appears in urine in the presence of liver disease or obstruction of the bile ducts.
As your dipstick showed leukocytes & protein-that are because of urinary tract infection.
A small amount of bilirubin(urobilinogen) in urine is normal.There is nothing of concern & to worry.
Hope this helped.
My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.
Thank you *****
Dr. Robert
Customer: replied 1 year ago.
Thank you for your answer. I am still a little confused however. The dipsticks I have, test for both URO and BIL. So what is the difference in the 2? Also, nothing showed up in the URO bit just in the BIL part. Is that still normal? Many thanks.
Expert:  Dr. Robert replied 1 year ago.
Dear customer
Okay.As you have provided more details now,my answer varies accordingly.As you said that your dipstick has chemicals for both urobilinogen & bilirubin and it came out negative for uro & slightly poistive for bilirubin-this can be of little concern.
Bilirubin is not normally present in the urine. Bilirubin in your urine may indicate liver damage or disease. Its presence in the urine usually indicates blockage of liver or bile ducts, hepatitis or some other liver damage.
Although there does not seem to be anything dangerous or serious,but I advise you to have LFT(liver function test) so as to rule out any underlying liver disease.
Hope this helped.
My goal is to provide you with excellent service – if you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.
Thank you *****
Dr. Robert
Dr. Robert, Doctor
Category: Medical
Satisfied Customers: 6680
Experience: M.B.B.S, Experienced Family Physician
Dr. Robert and 2 other Medical Specialists are ready to help you
Expert:  Dr. SH replied 1 year ago.
I would like to add my opinion here. Urobilinogen and bilirubin are completely different things. The expert above tried to suggest in one of the posts above that bilirubin is the same as urobilinogen which is something that I would totally disagree with.If you are tested positively for bilirubin in a urine dipstick test you should always be evaluated further for this.Bilirubin should not normally be present in the urine of a healthy person.Urobilinogen can be present in a healthy person in the urine but not bilirubin and must always be investigated further by a blood test.Let me know if you have more questions.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions