Patient's question:
A 4-year-old boy, who often experiences abdominal pain, has a poor appetite, and sometimes has a fever at night (37-39°C). When urinating, his urine is sometimes slightly cloudy. I was told to do a urine test today, and the results showed +1 protein and +1 urobilinogen. The doctor wasn't very clear about the results and just told me to come back for another check-up in a few days. I feel a bit uneasy and would like to consult a doctor.Doctor's answer:
Hello, a positive urobilinogen test generally indicates liver cell damage or intravascular hemolysis. Your child's abdominal pain may be a sign of Henoch-Sch?nlein purpura.Medical Advice: Henoch-Sch?nlein purpura is classified into abdominal, articular, renal, and mixed types. Patients typically experience 1-3 weeks of symptoms similar to upper respiratory infections, such as low-grade fever and general malaise. Blood may be present in the urine, along with protein, as well as symptoms like abdominal pain and joint pain. It is recommended that you take your child to the hematology department or the nephrology department for consultation.