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Theory & Procedure, Detection of Bile salts in Urine | Additional Study Material for NEET PDF Download

Objective:

Our objective is to detect the presence of bile salt in urine.

Theory:

Bile is a yellow-green fluid that contains water and organic molecules such as cholesterol, bile acids, and bilirubin. In humans, the two main function of bile are digestion and absorption of fats and eliminating bile salts from the body by secretion into bile. Adult humans produce around 400 to 800 ml of bile daily.

Let’s understand the formation of bile salts.

In humans and most vertebrates, bile is produced by the liver. The gall bladder holds the bile produced in the liver and when the organism eats, bile is discharged into the duodenum. The formation of bile salts starts with the breakdown of red blood cells. The old red blood cells become more fragile and may be damaged while they are passing through the small blood vessels. These old and damaged red blood cells rupture as they pass through the spleen or liver. The macrophages break down hemoglobin in the red blood cells and remove iron from the heme component. The iron-free portion of heme is converted to biliverdin, a green pigment, and then into bilirubin, a yellow orange pigment. In the liver, bilirubin are excreted in the bile as bile pigments, which passes into the small intestine and then into the large intestine. Bilirubin is detected in urine in certain pathological conditions only. Bilirubin is not found in urine. It is present in urine during jaundice or because of liver damage. 

Theory & Procedure, Detection of Bile salts in Urine | Additional Study Material for NEET

We can test for the presence of bile salt in urine using Smith’s reagent and Pattern Raffo’s test. On adding urine to the Smith’s reagent, a green ring is formed in the presence of bile salt in urine. Pattern Raffo’s test gives a red colour in the presence of bile salt.

Learning outcomes:

  • Students understand the characteristics of bile salt.
  • Students understand metabolism of bile salt.
  • Students understand the tests to detect the presence of bile salt in urine sample.
  • Students will be able to do the experiment more accurately in the real lab once they understand the steps through the animation and simulation.

Smith’s Test

Materials Required:

Theory & Procedure, Detection of Bile salts in Urine | Additional Study Material for NEET

Procedure:

  • Take 1 ml Smith’s reagent in a measuring cylinder from the reagent bottle.
  • Pour the Smith’s reagent from the measuring cylinder into a test tube.
  • Using a dropper, take some urine from the urine sample bottle.
  • Tilt the test tube and pour the urine along the side of the test tube.
  • A green ring is formed at the junction of two layers indicating the presence of bile salt in urine.

Pettenkofer’s Test

Materials Required:

Theory & Procedure, Detection of Bile salts in Urine | Additional Study Material for NEET

Procedure

  • Take 2 ml urine in a measuring cylinder from the urine sample bottle.
  • Pour the urine from the measuring cylinder into a test tube..
  • Take some sucrose using a spatula.
  • Put the sucrose into the test tube containing urine.
  • Take 2 ml H2SO4 in a measuring cylinder from the reagent bottle.
  • Tilt the test tube and pour the H2SO4 along the side of the test tube.
  • Appearance of red colour indicates the presence of bile salt in urine.

Simulator Procedure (as performed through the Online Labs)

You can select the type of test from the ‘Select type of test’ drop down list.

Smith’s Test

  • Drag the dropper containing the urine sample towards the test tube to pour the sample slowly along the side of the tube.
  • Click on the information icon to see the inference.
  • You can redo the experiment by clicking on the ‘Reset’ button.

Pettenkofer’s Test

  • Drag the spatula containing sucrose towards the test tube to put the sucrose into it.
  • Drag the dropper containing the Conc. H2SO4 towards the test tube to pour the sample into it.
  • Click on the information icon to see the inference.
  • You can redo the experiment by clicking on the ‘Reset’ button.
The document Theory & Procedure, Detection of Bile salts in Urine | Additional Study Material for NEET is a part of the NEET Course Additional Study Material for NEET.
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FAQs on Theory & Procedure, Detection of Bile salts in Urine - Additional Study Material for NEET

1. What are bile salts and why are they important in urine?
Ans. Bile salts are compounds produced by the liver and stored in the gallbladder. They play a crucial role in the digestion and absorption of dietary fats. Bile salts emulsify fats, breaking them down into smaller droplets that can be easily digested and absorbed. Detecting bile salts in urine can be an indication of liver or gallbladder dysfunction, as they are normally reabsorbed by the body and not excreted in urine.
2. What is the procedure for detecting bile salts in urine?
Ans. The detection of bile salts in urine involves several steps. First, a urine sample is collected from the patient. Then, a chemical test called the Van den Bergh reaction is performed. This test involves mixing the urine sample with a reagent that reacts with bile salts, producing a color change. The intensity of the color change is proportional to the concentration of bile salts present in the urine. A spectrophotometer can be used to measure the color intensity accurately.
3. What are the possible causes of increased bile salts in urine?
Ans. Increased levels of bile salts in urine can be caused by various conditions. Liver diseases, such as hepatitis, cirrhosis, or liver cancer, can lead to impaired bile salt metabolism and excretion. Gallbladder disorders, such as gallstones or inflammation, can also result in the release of excess bile salts into the urine. Additionally, certain medications or genetic disorders affecting bile salt metabolism can contribute to elevated levels of bile salts in urine.
4. Can the detection of bile salts in urine be used as a diagnostic tool?
Ans. Yes, the detection of bile salts in urine can be a useful diagnostic tool. It can help identify liver or gallbladder dysfunction, allowing healthcare professionals to investigate further and determine the underlying cause. However, it is important to note that the presence of bile salts in urine alone is not sufficient for a definitive diagnosis. Additional tests and clinical evaluations are typically required to confirm the specific condition causing the abnormal bile salt levels.
5. Are there any precautions or factors that can affect the accuracy of bile salt detection in urine?
Ans. Yes, there are certain precautions and factors that can affect the accuracy of bile salt detection in urine. It is important to ensure a clean and uncontaminated urine sample for accurate results. Certain medications, such as diuretics or antibiotics, may interfere with the test and should be taken into consideration. Additionally, factors like dehydration, excessive intake of dietary fats, or certain medical conditions, such as urinary tract infections, can potentially affect the concentration of bile salts in urine.
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