Urobilinogen

[roger101]

Hi Sheryl, I hope you can help me with this. I have a Blood Test every 2 months (for my benifit to check on Liver, Kidneys and Cholesterol Etc). This weeks came back with everything normal except my Urobilinogen (1+) Monocyte (15) and Eosinophil (5).

 

What I want to know is how much of a problem do I have.

[thequietman]

The normal range is up to 1.8. If it hits 2, then there might be issues. You might have a viral infection, hence high monocyte. It should be between 2 - 8. Normal ranges for Eosinophil range from 0 - 6. These white blood cells are fighting something. As mentioned, a viral infection.

 

 

[Sheryl]

I assume that urobilinogen +1 is from urine test. This is not an exact result, which means they did a simple dipstick rather than detailed analysis.

 

Without knowing the parameters of the dipstick test used I can't know what +1 equates to in terms of amount of urobilinogen in the urine. It could be entirely normal since it is normal to have some urobilinogen in the urine, or it could be borderline or slightly high - I can't say.

 

If you had a serum bilirubin and liver enzymes done at same time and they were  normal then not likely to be of concern.

 

Regarding the monocytes and eosinohils, I assume these are percentages?  If so, I wouod need to know what the total  WBC count was  to determine if the actual count is elevated or normal.

 

it is most unusual to have these sort of tests done every 2 months, are you being treated for a chronic condition?

 

[roger101]

27 minutes ago, Sheryl said:

I assume that urobilinogen +1 is from urine test. This is not an exact result, which means they did a simple dipstick rather than detailed analysis.

 

Without knowing the parameters of the dipstick test used I can't know what +1 equates to in terms of amount of urobilinogen in the urine. It could be entirely normal since it is normal to have some urobilinogen in the urine, or it could be borderline or slightly high - I can't say.

 

If you had a serum bilirubin and liver enzymes done at same time and they were  normal then not likely to be of concern.

 

Regarding the monocytes and eosinohils, I assume these are percentages?  If so, I wouod need to know what the total  WBC count was  to determine if the actual count is elevated or normal.

 

it is most unusual to have these sort of tests done every 2 months, are you being treated for a chronic condition?

 

Hi, I have the test done at Lifecare in Pattaya. They are a package that costs 500 Baht, and include Urine and a Complete Blood Count with Kidney and Liver as well.

 

  A smaller package of Blood Sugar and Fats cost 350 so I have the same test as the one I show the specialist. The 2 monthly test is just for me.

 

I did have a problem with High Blood Pressure and Cholesterol etc (and high Blood Sugar) but these have been brought under control with tablets and diet. I see my Heart Specialist every 4 months and go to Lifecare to  get the test. Much cheaper than BHP.

[Sheryl]

If you have no known liver problems and serum bilirubin and liver enzymes were normal then I would not worry bout the 1+ urobilinogen. As mentioned they did not do a "real" urinalysis but rather just a dipstick and without details of the dipstick parameters it is impossible to figure out how much "+1" is equivalent to. Small amount if urobilinogen in the urine is normal.

 

I think getting CBC (complete blood count), urinalysis  and kidney/liver tests 2 monthly is considerable overkill, especially in the absence of any known liver/kidney disease or signs of infection. Unnecessary tests can in fact cause problems: needless worry and sometimes leads to unnecessary further investigations (for which reason they are popular parts of Lab and Hospital packages????).

 

Since you mention some cardiovascular issues - Re the monocytes please indicate the total WBC count as that is necessary to calculate the absolute monocyte count from the percentage.  There has been some very recent literature suggesting that elevated monocytes can be a predictor of subsequent cardiac event, probably because they relate to inflammation. If CRP (C reactive protein) was measured that would be another indice. Not something to do every 2 months but now and then it is useful and a better known indicator than monocyte count (the two are actually related).