
What Causes Bright Yellow Urine With Kidney Pain When Diagnosed With Hepatosplenomegaly?

follow up investigations to know progress/regress of condition
Detailed Answer:
Hello,
I can understand your worry on your abdominal finding on physical examination.
1) No, at present there is nothing serious with you.
2) Bright yellow urine with kidney pain suggest dehydration induced less urine formation by kidney. This might lead to stone formation in kidney. You must drink minimum 2.5-3 lit water per day.
3) Deposition of fat in liver tissue may cause enlargement of liver only, not the spleen. This problem might affect liver function only in severe case and this will be evident in blood report by high level of bilirubin and liver enzymes. Having normal liver function test indicates normal functioning liver.
4) Enlargement of spleen by feeling of just tip of it on palpation is not significant finding especially in background of all normal blood reports.
5) There is no need of repeat endoscopy for your symptoms or physical findings but you must do USG abdomen, liver function test, lipid profile test after 3 months again to evaluate progression or regression in findings.
Hope I answered your query. If you have any further doubts, I would be happy to help you.
Have a good day!


WBC -- Normal (6.0)
RBC -- Normal (5.70)
Hemoblobin -- 17.8 (Range was 13.5 - 17.0 so Slightly elevated)
Hematocrit -- Normal (51.8)
MCV -- Normal (90.8)
MCH -- Normal ( 31.2)
MCHC -- Normal (34.4)
RDW -- Normal (12.2)
Platelet Count -- Normal (206)
Pt -- Normal (13.4)
INR -- Normal (1.04)
PTT -- Normal (28)
AFP Tumor Marker -- Normal (2.3)
AST/Sgot -- Normal (34) Test shows normal range is under 35
ALT/SGPT -- It says its in normal range but seems high to me. 70 was the number and it says standard range is under 78???
Alkaline Phosphatase -- Normal (36)
And the results of the Ultra sound
Liver is 17 CM -- Normal size
Spleen is Mildly enlarged measuring 13.6 cm
Kidneys are normal
They could not see the pancreas because of Gas in my sytstem
No masses of any kind
So Basically it appears everything is normal (Which is great news) minus the Slightly enlarged spleen.
So my questions are
Should I be concerned about the mildly enlarged spleen? What could be causing that if anything?
Should the slightly elevated Hemoglobin be a concern?
and lastly,the ALT at 70 seems high but it say its with in the normal range on the test. Should that number concern me?
Thanks
normal reports
Detailed Answer:
Hello,
I apologize for late reply.
1) All most all tests are within normal limit, only SGPT and SGOT are borderline elevated. This is not serious concern as far as USG abdomen eliminated fatty liver.
3) Spleen is not significantly enlarge. It also does not have any impact on RBC, WBC, platelet counts. You should not worry on this. I would recommend to do follow-up USG abdomen after 6 months for size of spleen and liver fat content.
4) For Hb value of 17.8 you should consult hemato-oncologist to find out cause for it, although it will not require any specific treatment (I apologize but your question on hemoglobin is not related to my speciality).

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