Can anybody help interpret this urine dip?

[meli554]

The fourth one down is protein. Thanks.

[holly3372@msn.com]

So my husband took a look at this ( because he always helps read mine) says it looks ok within normal color range, not in danger zone. However of course we all know it's no 24 hour test and those are way more acurate . Have you had one lately and if so what was the result?

[meli554]

I did one for a baseline in the 1st tri - that one came back normal.

With my son, my dips always showed trace, but when I did my first 24 hour with him, it came back at 306.

My systolic pressure the past few days has been in the 140s, but my diastolic is still ok in the low 80s.

[holly3372@msn.com]

If you have any doubts I would go ahead and ask for another 24 hour test, I have already done two and at my 28 week appointment Im going to request another for the same reason, a dipstick test and 24 hour test can show totally different things.

[meli554]

Thanks, Holly. I think I'm going to call my OB.

[angieb]

Your blood pressures are borderline enough I would go ahead and call, but honestly, my current pregnancy has me unconvinced of the value of 24 hour urine tests in the absence of other symptoms.

At one of my OB appointments six weeks ago, I was spilling +1 that morning on a dip test, and by the afternoon at my MFM appointment not even a trace. They ordered a 24 hour urine anyway (though I had no other symptoms), it came back over 700 with highish uric acid levels. Since then there have been once or twice when I spilled trace at my OB but clear at the MFM. I am definitely swollen. But my blood pressure has remained good and I have no other signs or symptoms. Baby's fluid levels are good and they are monitoring me carefully. I could have requested another 24 hour urine "for the fun of it" but they don't deliver usually for protein levels alone and I find it hard to believe that if I was spilling protein in the thousands+ it wouldn't come up as at least +1 on a dip test. And even if I was spilling protein in the thousands, they wouldn't deliver for it with normal bp's and no other signs of pre-eclampsia (no headaches, vision issues, URQ pain, etc. etc.) There was a time I was a little annoyed with my MFM for not wanting to order follow up 24 hours since I wasn't spilling anything in the office diptest, but now that we've made it 6 weeks more and there is still nothing going on except swelling- normal bp's, no headaches, baby looking good and active, - I'm really glad I didn't waste my time peeing in a jug for 24 hours. (They have done labs once more just to make sure and tested my uric acid as part of that and it came back normal the second time so I may not even be spilling protein anymore.)

Anyway, spilling protein obviously isn't good, but in the absence of other symptoms, I wouldn't stress over it too much. (Now if you are having borderline blood pressures that are high for you, then I think it's worth asking to redo. But I wouldn't necessarily ask for them every X weeks just for the heck of it.)

[holly3372@msn.com]

Thinking of you, hope your feeling well and were able to get things resolved with your Ob today, especially for your peace of mind. Keep us posted

[meli554]

Thanks. I called my OB, and since I have been having some other symptoms (headaches, nausea, exhaustion) he ordered some blood work, which I did yesterday afternoon. So I guess I'll just wait to hear back with the results.

[holly3372@msn.com]

Sounds good and good for you for being proactive in your care!! Let us know how your feeling and what your results are. Thinking of you. ((((((Hugs)))))))

[meli554]

Well my blood work all came back great! But the random sample protein-creatinine ratio came back high, so much so, that my OB thinks that maybe the lab did the test wrong. So she said that I could either repeat the test, but if it comes back elevated then she will want a 24 hour collection, or I can just do the 24 hour collection, which is what I decided to do. I did one as a baseline in the first trimester, which came back great - like 108 or something. So we'll see.

Does anyone know what these #s mean?
37 mg/dL protein
48.5 mg/dL creatinine