Urologist Questions Urologist

Test result meaning?

I had gone to an urgent care for symptoms like a UTI they did the dipstick test and a few of the results were elevated but I don't know exactly what they mean. The urobilinogen is 2.1+EU/dL large abnormal (normal = .2- 1.0 EU/dL) 4.0 and the ph was 8.5 with trace amounts of protein. I am more concerned about the urobilnogen but want to understand the alkaline ph to if known why. They currently have sent the sample for a culture and prescribed me sulfamethoxazol-triethoprim to take 2 times a day for 7 days.

Female | 20 years old
Complaint duration: 1.5 months
Medications: Cymbalta, Ambien and Viorele

3 Answers

Urobilinogen is soluble bile that comes in urine and not in stool, has nothing to with urine infection (UTI). Alkaline ph may mean urine infection - normally, urine ph is acidic. Trace protein has lots of reasons; for that, you have to see a nephrologist if it persists.
Elevated urobilgin levels in your urine is an indication of abnormal liver function. There’s a multitude of causes that can result in that, but the most common cause is due to an increased amount of red blood cell breakdown. Urinary tract infections are not in particular associated with elevated urobilgin. Gallbladder disease, hepatitis, and a multitude of other rare illnesses can be associated with elevated urobilgin levels. Medication can also do this as well. My suggestion would be finish your course of anabiotic’s, have it retested, and if there are problems, see a urologist. Or, speak with your primary care physician and see if they want you to see a hepatologist first.
Best of luck and be well.


First, the alkaline pH most commonly arises from an active bacterial urinary infection. The bacteria change the urine pH to alkaline. In a rare circumstance, a person can show an alkaline urine from extreme consumption of alkaline foods such as greens. This is very rare. Your urine is infected. Bactrim is prudent. Urobilinogen is ordinary in small amounts. Urobilinogen comes from ordinary metabolism of bilirubin from the liver and is excreted as a waste. Normally, most uribilunogen comes through the liver into bile ducts and then is dumped into the intestine and is excreted with bowel movements. An increase in urine urobilinogen is of concern: liver dysfunction can disturb normal passage of urobilinogen through bile ducts, such as bile duct blockage or an inflamed liver. Or, if a hemolytic anemia is active, then more bilirubin is made from the released hemoglobin.