Blood test report issues?
Hello Doctor, I recently had blood and urine tests due to high blood pressure.
The day before the tests, I took antibiotics (Pseudomonas-specific tablets) because a previous doctor diagnosed me with "epididymitis." The urine test results show some values are slightly elevated (Albumin seems to be high; I found that the units online are in g/dL, while mine is in mg/L).
I am unsure if I need to return for a follow-up or see another doctor.
Could you please take a look at my results? Thank you.
Albumin (Dipstick): 30 mg/L
Albumin/Creatinine (Dipstick): Normal (<30) mg/g
Bilirubin (Dipstick): -
Creatinine (Dipstick): 200 mg/dL
Glucose (Dipstick): - mg/dL
Ketone (Dipstick): -
Nitrite (Dipstick): -
Occult Blood (Dipstick): -
Protein (Dipstick): - mg/dL
Specific Gravity (Dipstick): 1.018
Urobilinogen (Dipstick): ≤1.5 mg/dL
WBC Esterase (Dipstick): -
pH (Dipstick): 5.5
Thank you for your assistance.
ben, 30~39 year old female. Ask Date: 2021/01/25
Dr. Chen Shidian reply Gastroenterology and Hepatology
It should not be necessary; you can discuss it during your follow-up appointment after finishing the medication.
Reply Date: 2021/01/25
More Info
When interpreting blood test results, particularly concerning elevated albumin levels, it is essential to understand the context and implications of these findings. In your case, you mentioned that your albumin level was reported as 30 mg/L, which is indeed higher than the normal threshold of less than 30 mg/g when considering the albumin-to-creatinine ratio. This indicates that there may be some degree of albuminuria, which can be a sign of kidney dysfunction or other underlying health issues.
Albumin is a protein that is typically found in the blood, and its primary function is to maintain oncotic pressure, which helps keep fluid in the bloodstream. When albumin is present in the urine, it can indicate that the kidneys are not functioning properly, as healthy kidneys usually prevent significant amounts of protein from leaking into the urine. The presence of albumin in the urine can be a marker for kidney disease, particularly in the context of conditions such as diabetes or hypertension.
Given that you have a history of high blood pressure and were recently treated for epididymitis with antibiotics, it is crucial to consider how these factors may relate to your current lab results. High blood pressure can lead to kidney damage over time, and if your blood pressure has been poorly controlled, it could contribute to the presence of albumin in your urine. Additionally, infections or inflammation in the body, such as epididymitis, can sometimes lead to transient changes in kidney function or protein levels.
In your case, the presence of albumin at 30 mg/L suggests that you should follow up with your healthcare provider. While this level might not indicate severe kidney damage, it is essential to monitor it, especially considering your high blood pressure. Your healthcare provider may recommend further testing, such as a repeat urinalysis, blood tests to assess kidney function (like serum creatinine and estimated glomerular filtration rate), and possibly imaging studies if they suspect any structural abnormalities in the kidneys.
Moreover, it is also important to evaluate other aspects of your health, such as your blood pressure management, lifestyle factors (diet, exercise, smoking, etc.), and any other symptoms you may be experiencing. If you are currently on antihypertensive medications, ensuring that they are appropriately adjusted can help mitigate any potential kidney damage.
In summary, while a single elevated albumin level may not be alarming, it is a signal that warrants further investigation, especially in the context of your medical history. It is advisable to schedule a follow-up appointment with your healthcare provider to discuss these results in detail, assess your overall kidney health, and determine the best course of action moving forward. Regular monitoring and proactive management of your blood pressure and kidney function are crucial in preventing long-term complications.
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