Are My Medical Results Concerning?
I’m a 29-year-old female, standing at 5'3" and weighing 165 pounds, currently residing in Texas. I’ve been experiencing abdominal issues and recently visited the emergency room. During my visit, they conducted a variety of tests including blood work, a urinalysis, and a CT scan. Surprisingly, the ER physician didn't mention any problematic findings. Afterward, I consulted with my primary care manager, and the nurse informed me that my results were within normal limits. However, I have reservations about this assessment as I feel my concerns are being overlooked, rather than being properly evaluated by a doctor. Upon examining the CT report, it seems that there are either sludge or minor stones in my gallbladder. I have never had any previous gallbladder issues. Regarding my blood work, the results were largely unremarkable. However, my urinalysis revealed some abnormal findings: - Urobilinogen: 1 eu/dl (high end of normal) - White Blood Cells: 13/hpf - Leukocytes: small, elevated - Ketones: trace amount - Protein: 30 mg/dl - Presence of casts at low power field Since my background is primarily in veterinary medicine, I’m uncertain if these results indicate a significant medical issue. I would like to know if these lab values are indeed abnormal and if I should consider bringing this matter to the attention of a case manager.
Answers (1)
8/9/2025, 11:50:41 PM
OpenHealth AI
Your concerns are valid, especially since you’re feeling unwell despite receiving reassurance from medical staff. Let’s break down your lab results and symptoms to clarify what they might indicate and how you can proceed.
Main Points
- Lab Results: Some findings in your urinalysis suggest potential issues that merit further investigation.
- Gallbladder Concerns: Presence of sludge or stones may require monitoring.
- Next Steps: It's crucial to communicate your concerns about these results and symptoms to a healthcare provider.
Explanation
- Urinalysis Findings:
- High Urobilinogen: Can indicate liver issues or increased breakdown of red blood cells; however, it’s important to consider other liver function tests for a complete picture.
- White Blood Cells (WBCs): An elevated WBC count often suggests infection or inflammation in the urinary tract.
- Leukocytes: This indicates a possible urinary tract infection (UTI) or additional inflammation.
- Ketones: Can occur with dehydration or uncontrolled diabetes; however, trace amounts are often not concerning unless paired with other symptoms.
- Protein: A small amount can be normal, but higher levels can indicate kidney issues; follow-up may be necessary.
- Presence of casts: This could suggest kidney issues, depending on their type and quantity.
Next Steps
- Document Your Concerns: Write down all your symptoms and how they affect your daily life. This will help when discussing them with your healthcare team.
- Follow Up on Urinalysis: Consider scheduling a follow-up appointment to discuss your urinalysis results in detail, particularly focusing on the elevated WBCs and presence of casts.
- Monitor Gallbladder Symptoms: Keep track of any abdominal pain, nausea, or other symptoms that might indicate gallbladder issues. You might want to inquire about possible lifestyle changes or treatments if the symptoms persist.
- Engage Your Case Manager: If you're not feeling heard, it’s appropriate to advocate for yourself. Bringing up your concerns to a case manager can facilitate better communication and possibly expedited follow-up care.
Empathy & Reassurance
It's understandable to feel anxious when medical results are unclear and you're experiencing discomfort. Your proactive approach in seeking clarity is a great step. With your background in veterinary medicine, you're aware of the importance of symptoms and lab results, and it's essential that you feel comfortable enough to discuss your needs with your healthcare provider. Don't hesitate to pursue further evaluation to ensure your health is adequately addressed.
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