Question
A 4-year-old child frequently experiences abdominal pain and refuses to eat, with night-time temperatures ranging from 37 to 39 degrees Celsius. The urine occasionally appears cloudy white. Recently, a urine test revealed a +1 level of urinary protein and +1 level of urobilinogen. The attending physician did not provide a clear explanation, merely suggesting a recheck in a few days. Feeling uneasy, I am seeking professional advice.
Answer
A positive urobilinogen test typically indicates liver cell damage or intravascular hemolysis. The child’s abdominal pain may be due to allergic purpura. Allergic purpura includes abdominal, arthritic, nephritic, and mixed types, with patients often presenting with symptoms similar to upper respiratory infections, such as low-grade fever and systemic discomfort. The urine may contain blood and protein, as well as symptoms like abdominal pain and joint pain. It is recommended to bring the child to a hematology or nephrology department for consultation.