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Urology  (Expert Forum)
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233190?1193370436
Uric acid
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Uric acid

by osiag, Oct 10, 2005 12:00AM
What does a uric acid level of 7.2 (upper limit = 7) and a total bilirubin 1.1 (upper limit 1) indicate in the face of an otherwise totally normal full blood work up with CBC and differential and totally clean urine analysis.  Bilirubin direct was normal (0.2) and testwas done on a 14 hour fast.

by Kevin Pho, MD, Oct 12, 2005 12:00AM
Note that these test results are within the limits of lab error.



Regarding the bilirubin - if the other liver function tests are normal, this can be what's known as Gilbert's syndrome.  This not an uncommon disorder of bilirubin metabolism.  This is not normally treated and can be observed.  A liver ultrasound can be considered for further evaluation.



An elevated level of uric acid can be a disorder of overproduction, or that the body isn't able to clear away the uric acid.  Possible causes can include chronic kidney disease, vitamin b-12 deficiency, cancer, a side effect of many medications, myeloproliferative disorders, or hypothyroidism - to name a few.  



Evaluation of these diseases can be considered if suspected by your personal physician.  



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

http://www.straightfromthedoc.com
Member Comments

by madgeOwens, Nov 15, 2005 12:00AM
To: Misc. (Urology)
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