Blood Drug Testing

Could someone help me to read my lab/blood test result?

I took a blood test to check on my kidneys and liver. Could someone help me read it please? Thank you. Bilirubin Total 23.7 umol/L Bilirubin Direct 10.5 Creatine 41 Urea 1.93 mmol/L Creatinine 41ummol/L Re: rec Not yet, but could someone please help me out? Thanks. I am worried. These are supposed to be the "abnormal" values. Re: nana4141 Thank you for those info. I have read them already, but is it possible to have someone to explain more to me please? I had TB-related pleural effusion before and had been intaking INH and Rifapentine since May. I started taking Pyrazinamide 2 months ago. I had some side effects with the INH and/or Rifapentine before so he tried to intake 1/2 less of the INH and the effects had since been reduced. I had a sudden headache a few days ago when I had difficulties to see clearly and my neck was also in pain. The headache was gone later that day. I had also been feeling a bit nauseous on eating fried or oily food in the past few days. I am concerned whether he is suffering in a drug-triggered hepatitis due to my medication. Hope these info would help more.

Public Comments

1. didn't your doctor explain this to you?
2. http://www.vitalcheque.com/show_info.php?page_id=123
3. - Bilirubin (formerly referred to as hematoidin) is the yellow breakdown product of normal heme catabolism. Heme is formed from hemoglobin, a principal component of red blood cells. Bilirubin is excreted in bile, and its levels are elevated in certain diseases. It is responsible for the yellow colour of bruises and the yellow discolouration in jaundice. Bilirubin reduction in the gut leads to a product called urobilinogen which is then oxidized to urobilin which is excreted in the urine. Different sources have different but similar reference ranges. Normal values for total Bilirubin are 5.1 - 17.0 umol/L Normal range for bilirubin direct is 1.0 - 5.1 u/mol Total bilirubin measures both bilirubin conjugated and bilirubin unconjugated.Mild rises in bilirubin may be caused by Hemolysis or increased breakdown of red blood cells. Gilbert's syndrome - a genetic disorder of bilirubin metabolism which can result in mild jaundice, found in about 5% of the population. Moderate rise in bilirubin may be caused by Drugs (especially anti-psychotic, some sex hormones, and a wide range of other drugs). Hepatitis (levels may be moderate or high). Chemotherapy Biliary stricture (benign or malignant) Very high levels of bilirubin may be caused by Neonatal hyperbilirubinaemia, where the newborn's liver is not able to properly conjugate the bilirubin (see jaundice). Unusually large bile duct obstruction, eg stone in common bile duct, tumour obstructing common bile duct etc. Severe liver failure with cirrhosis. Severe hepatitis. Crigler-Najjar syndrome Dubin-Johnson syndrome Choledocholithiasis (chronic or acute) Cirrhosis may cause normal, moderately high or high levels of bilirubin, depending on exact features of the cirrhosis Indirect bilirubin is fat soluble and direct bilirubin is water soluble. - Creatine is nitrogenous organic acid that occurs naturally in vertebrates and helps to supply energy to muscle and nerve cells. Normal levels for an adult female: upto 1.1mg/dL (SI: 97 umol/L). adult male: upto 1.2mg/dL (SI: 106). - Urea, also called carbamide, is an organic chemical compound which essentially is the waste produced when the body metabolizes protein. 2.5 - 6.4 mmol/L is the normal range. - Creatinine is a chemical waste molecule that is generated from muscle metabolism. Creatinine is produced from creatine, a molecule of major importance for energy production in muscles. Approximately 2% of the body's creatine is converted to creatinine every day. Creatinine is transported through the bloodstream to the kidneys. The kidneys filter out most of the creatinine and dispose of it in the urine. Creatinine has been found to be a fairly reliable indicator of kidney function. As the kidneys become impaired the creatinine level in the blood will rise. Abnormally high levels of creatinine thus warn of possible malfunction or failure of the kidneys, sometimes even before a patient reports any symptoms. It is for this reason that standard blood and urine tests routinely check the amount of creatinine in the blood. Normal ranges for creatinine are male 62-115 umol/L and female 53-97 ummol/L Certain drugs can sometimes cause abnormally elevated creatinine levels