Urobilinogen is one of the tests your doctor may recommend when you come up with certain complaints. When should you have this test? What if the urobilinogen test shows an abnormal number?
Urobilinogen is a substance that results from the breakdown of bilirubin in the body. Bilirubin itself is a yellow substance found in the liver and functions to break downred blood cells.
Most of the urobilinogen leaves the body with feces, but a small portion is absorbed by the blood and returned to the liver. From the liver, urobilinogen comes out again through the bile with a small portion into the kidneys and excreted from the body with urine.
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The Urobilinogen test is a test for this condition
Urobilinogen levels in the urine are relatively low, namely 0.2–1 milligrams per deciliter of urine. If the urobilinogen test shows less or more bilirubin in the urine, you may have a disease related to liver function damage.
A urobilinogen test will usually only be recommended by your doctor if you have several symptoms, such as:
- Jaundice (discoloration of skin and eyes becomes yellowish)
- Solid colored urine
- Nausea and vomiting
- Pain and swelling around the stomach
Your doctor may not recommend that you do a urobilinogen test if you suspect something else is the cause of the complaint. However, if your doctor recommends this, you should follow that advice.
The urobilinogen test is a part of the urine test (urinalysis). The goal of this test is to find the presence of different cells, chemicals, or other substances such as bilirubin in the urine.
Causes of abnormal urobilinogen levels
After the urine sample is taken, put in a special container, and analyzed in the laboratory, then the urobilinogen levels are known in your body. As noted above, normal urobilinogen levels are 0.2–1 mg / dL.
If the urobilinogen level is less than 0.2 or even not detected at all, there are 3 possibilities that are happening to you, namely:
- There is a blockage in the ducts that carry bile to the liver
- There is a blockage in the blood vessels in the liver
- Abnormality liver function
Meanwhile, if the urobilinogen level is above 1 mg / dL, then some of the possibilities that you might experience are:
This condition describes the liver that is inflamed due to viral infection, both hepatitis A, B, C, D, and E. If not treated immediately, this problem can be fatal.
2. Cirrhosis of the liver
Cirrhosis of the liveris an injury to the liver due to long-term damage so that the liver cannot function properly. Cirrhosis is also called end-stage liver disease because it is an accumulation of various problems that occur in the liver, one of which is due to hepatitis.
3. Liver damage due to the influence of drugs
Drugs that have the risk of damaging the liver can be in the form of pain relievers that are not consumed as recommended, as well as prescription drugs that are known to have side effects that interfere with liver performance. Some herbs can also damage the liver.
4. Hemolytic anemia
This condition is characterized by the premature destruction of red blood cells, so that there are not enough healthy red blood cells to transport oxygen throughout the body.
However, the conclusion of the urobilinogen test results is in the hands of the doctor. Even if you have abnormal levels, you don't necessarily have to take drugs or undergo certain treatments.
This is because several conditions can affect the results of this test, for example the consumption of certain drugs or supplements before undergoing the test, or during menstruation urine sample taken.
Ultimately, a urobilinogen test is only one way of knowing whether or not there is an abnormality in your body. If the doctor suspects a dangerous disease from the results of this urobilinogen screening, you may be advised to undergo other tests to make a diagnosis....