Bunc/creatine ratio?

Question
Hello,



I just got my blood work and urinalysis back and have a few questions.  My bun/creatinine ratio came back as high.  My level is 42 with a referance range from 7.0-25.0.  I also tested positive for large bilirubin (U) QL, epithelial cells is 40-70 with referance range LPF, bacteria, small, mucus, small and yeast.



I have a fentanyl pain pump and take vicodin for break through pain.  I'm wondering if my numbers indicate a problem?



Thanks so much.



Cindy M.


Answer
Hi Cindy,



Thanks for asking my help on "Allexperts".



A high ratio can be due to many causes. Common among them are:



1. Dehydration

2. High protein diet

3. Ingestion of a large quantity of cooked meat

4. Steroid therapy

5. Blood in the gut



I am more concerned about the large bilirubin. Please ask your doctor to refer you to the relevant specialist.



Sincerely,



Dr. Shah