Urobilinogen – Substance in Urine (Nursing)

00:00 Now let's look at urobilinogen.

00:02 Yeah, I know another mouthful.

00:05 Now this is different than bilirubin.

00:08 We're talking about urobilinogen.

00:10 Normal levels should be 0.2 to 1.0.

00:14 So what is this? Obviously the livers involved because we've got that there for you, but urobilinogen is converted from bilirubin by bacteria in the duodenum.

00:27 Now where's the duodenum? That's your gut.

00:30 So this is one of the important reasons you want to keep healthy gut bacteria.

00:36 Now most of it is excreted in the feces.

00:38 So in your stool or its transported back to the liver and we convert it back into bile.

00:45 But the reason it should be low in your urine right is because most of it should be excreted in your feces or stool or it's transported back up to the liver to be recycled.

00:56 So if you've got a lot of it in your urine, that's a problem.

01:00 So let's take a look at what that indicates in the body If you have too little urobilinogen or too much because lower than normal or no urobilinogen may indicate a blockage in the structures that carry bile from the liver, it also may indicate a blockage in the blood flow in the liver or a problem with liver function, again three four one.

01:24 So if I have a lower than normal urobilinogen, I've got a problem with my liver.

01:30 So just write yourself a note in the column to say a liver problems.

01:34 Now what if I have higher than normal levels of urobilinogen? Well, this could be hepatitis, cirrhosis or liver damage due to drugs.

01:44 Now here's the issue if my urobilinogen levels are out of whack if they're not normal, then know that it's something to do with the liver.

01:54 Hepatitis, cirrhosis, a blockage in flow, but keeping in mind if I don't have enough, things aren't able to make it through the system.

02:03 If I have too much, and I've got inflammation or significant liver damage.