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a doctor is testing a friends urine

By June 21, 2010 - 8:02pm
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she has strips , that she has to put into her urine and than they change colors,
they are checking for infection, four areas are, ketone, nitrite(its high), urobilingy and billoubring (for give my spelling, she gave these to me) we know that the nitrite is high but doctor hasn't gotten back to her and she is very sick. so what might they be looking for? I believe that the ketone is sugar if I am not mistaken but the others I don't know. She weighs all of about 90 lbs if that and she has ost of her spine, but this is a new test. Can you help us out, she hasn't had very good commuication from her doctors and so she gets upset alot, can't say as I blame her, but I throught maybe we could get her some answers. Thanks alot

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Expert HERWriter Guide Blogger

Thank you bbigs. Can you tell us how your friend is doing now? You seemed really worried and concerned about her. Were you, or she, able to find out exactly what test the doctor ordered and why? Please let us know what's going on and if she's okay.

June 29, 2010 - 7:10pm

Thank you all for your help in this matter, it is always nice to beable to talk about medical problems without that LOOK, YOU KNOW LIKE ITS ALL IN HER HEAD LOLOL. I have gotten that look more times than I care to admit, but the good news is, God made me learn about my own body and what it can handle and what it cannot handle. We are all flowers in the bouquet of the Lord no one is the same but put us all together and we are more beautiful than words can express! Thank I must thank Michelle and EmpowHER, your the best

June 29, 2010 - 4:24pm
Expert HERWriter Guide Blogger

Anon - Thank you for writing and for your concern for your friend. It sounds like she could use your help in a number of ways so you may want to consider helping her in contacting her doctor's office more aggressively and even going with her to appointments.

In terms of information about lab tests, one of the best resources is a non-profit site that was set up by several organizations that include clinical laboratory professionals. The site, lab tests online, can be found at http://www.labtestsonline.org/ You can find information by test and by diagnosis. The site can also be helpful after you get test results and need more information to understand them.

As Cary said, your friend needs to get direct information from the doctor's office. Sites like Web MD can be helpful in a general sense but using them can also be confusing if the basic information that you have for research purposes isn't the right information.

A statement was made that all doctors are the same and all doctors treat patients in a certain manner. A statement like that is the same as classifying all patients in a derogatory manner. If your friend has consistently had issues with this particular doctor's office then she may need to switch doctors to find one that is more compatible. People do this every day in order to get the care they need. If she wants to do this, and needs help, we would be happy to help.

Please keep us posted and thank you for the kind words about EmpowHER.

Take care,

June 22, 2010 - 5:08pm
EmpowHER Guest
Anonymous (reply to Pat Elliott)

A majority of Doctors are the same and I did state that they are very busy.Doctors ARE busy!What Doctor do you know that is not?So you can take that any way you want.It is a rareity to get a direct call from your Doctor unless you have cancer or something as serious.Yes,you can fire your doctor.I have twice.I am 27 and have had more medical issues in the past 5 years than you have in your lifetime.P.s.along with all my other various medical issues I have LAM Disease.Look that up.Can you say terminal.I thought it would be nice to get on this site and talk to different women that had or have some of my medical history and give opinionated facts and words of support to those who ask,but every time I do,I get a backlash.I don't need this.Have a wonderful long life.

June 22, 2010 - 9:15pm
EmpowHER Guest
Anonymous (reply to Pat Elliott)

Thank you Pat, please let me set the record striaght I do not think for one minute that all doctors are the same, I stated that there are alot of good doctors and nurses out there and I am greatful for them. I do assist Rose as much as I can and I feel bad because I have had some experiences with some doctors that are terrible. I thank you for the lab site that may be a big help, and thank you for your info, because truely what we don't know can hurt us. I know Rose will be very thankful for all the help here on Empowher

June 22, 2010 - 5:16pm
EmpowHER Guest

All the Doctors are the same.Good luck getting in direct touch with them.You will talk to a assistant that will talk to them for you.Then you have to wait for the assistant to call back.That's when you continue to call back.Doctors are busy!Web MD is a great place to go to get info.It breaks things down in simpler terms then most web sites.I know some can be really confusing.I have been misdiagnosed twice for different reasons.It almost killed me and the other left me days away from cancer.I have am 98% in correctly diagnoising myself,my Daughter,Family and Friends and I tell the doctor what I believe I have and what he needs to test for.I have been told I was right by so many doctors,I lost count.P.S.Doctors do not like amitting that.I would have became a Doctor,but my true love is forensics and investigation.I am here to try to help people out.Especially since I have experienced various,
extreme amount of medical issues 1st hand.I have had almost every test possible,except a MRI,yet. Educate yourself,it is the best thing I can say.Read all that you can. Knowledge is power.

June 22, 2010 - 1:55pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Thank you so much, you have been really helpful and I really appreciate your input. This friend, Rose, is a dear lady and my prayers are that she can find some peace of mind and she isn't getting that from her doctors. But God is not limited and He will give us what we need. I am so thankful to Michelle and empowher for there are alot of people that just need some common sense communication and help dealing with what it is they have. Rose, has had alot of disappointment with the medical profession, but I know that the good Lord has good doctors and nurses that want to help her. Thanks again and my God bless you abundantly! Barb

June 22, 2010 - 3:40pm


Your friend should definitely ask the doctor what the purpose of the testing is. Is this a one time test? I got the feeling from your post that it was a more than once thing.

This used to be a common thing to do when you were diabetic, but now they tend not to go with this type of test as much because there are better ways to track and manage diabetes. These strip tests are usually testing for changes caused by diabetes or infection. They can also indicate a problem with liver or kidneys in a sort of general way.

I suggest your friend call the doctor and find out what they are looking for and why. Your friend sounds very sick and underweight, and I would be really aggressive in getting answers as to what they are looking for and what she should be doing to get better. A medical test is no good if you don't respond to the results.

I would not look anything up on WebMD. Your friend could continue to get sicker while you are looking for information you don't quite understand on the internet. Press the doctor for answers, and if you cannot get them, find a new doctor. It isn't worth risking her hospitalization.

Please keep us posted and good luck to you both.

June 22, 2010 - 6:39am
EmpowHER Guest
Anonymous (reply to Cary Cook BSN RN)

Thank you Cary, Rose has been doctoring for years and she has had alot of heart ach, with it, the doctors just don't communicate with her and it just seems to upset her. I thanks God for Michelle and Empowher because it is a place people like myself and Rose can get some answers or at least some understanding as to why the doctors are doing what they are doing. I do not say that all doctors are like this, I am just saying in her case they are not very helpful about giving her some peace of mind and I know that there are alot of good doctors and nurses out there that are willing to help, so thank you again for your info, and may God bless you for the help you give. Barb

June 22, 2010 - 3:46pm
EmpowHER Guest

Hi,I am Sorry to hear about your friend.These days you MUST be your own advocate.Keep calling back,don't worry what they think or say.You are only a number to them.WEB MD is also a wonderful source of information.Complete with Symptom checker.High nitrates can be due to a Urinary Track Infection.What is your friend's symptoms and age,if you do not mind me asking.I pray for her quick recovery.You are a great friend for helping her find some answers.Here is some info I looked up for you. 1.A ketone test checks for ketones in your blood or urine. Ketones are substances that are made when the body breaks down fat for energy. Normally, your body gets the energy it needs from carbohydrate in your diet. But stored fat is broken down and ketones are made if your diet does not contain enough carbohydrate to supply the body with sugar (glucose) for energy or if your body cannot use blood sugar (glucose) properly.Why It Is Done?A blood test is the most accurate method of measuring ketones. It is recommended for all people with diabetes,whenever symptoms of illness are present, such as nausea, vomiting, or abdominal pain. These symptoms are similar to symptoms of high blood sugar and may mean you have diabetic ketoacidosis, a potentially life-threatening condition.A urine test is the most commonly used method of measuring ketones. But it is less accurate than a blood test. 2.Nitrates are naturally present in soil, water, and food.The presence of nitrates in the urine can mean anything from infection to one of the many types of cancer-often bladder. Nitrates are found in many foods eaten in ones everyday diet. This can also be extended to water, although the concentrations in ground water are generally much lower than in foods.Nitrates in urine are accumulated from such vegetables as lettuce, spinach and carrots, beets. Though some plants naturally contain nitrates, researches believe that the culprit causing the real danger is use of nitrate fertilizers in the growing of the vegetable.Abnormal nitrite values may indicative of:Urinary tract infection,Bacterial infection,E Coli,Salmonella,Citrobacter,Proteus,Clebsiella. 3.Urobilinogen is a colourless product of bilirubin reduction. It is formed in the intestines by bacterial action. Some urobilinogen is reabsorbed, taken up into the circulation and excreted by the kidney. This constitutes the normal "enterohepatic urobilinogen cycle".Abnormal urobilinogen values may indicative of:Increased overburdening of the liver,excessive RBC breakdown,increased urobilinogen production,re-absorption - a large hematoma,
restricted liver function,hepatic infection,poisoning ,liver cirrhosis,LOW amounts:failure of bile production,obstruction of bile passage,restricted liver function,hepatic infection,poisoning,liver cirrhosis.

June 22, 2010 - 1:21am
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