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What Does This Routine Urine Examination Report Indicate?

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Posted on Mon, 3 Aug 2015
Question: My Mother is a 69-yr old Diabetic (under control with medicines), having had Angiography (2 simultaneous) in 2013. She suffers from Osteoporosis, Parkinson's Disease for past 6-7 years and she is on medication for all these. She occasionally complains of burning sensation while urinating and has had UTI in the past (few times). She recently complained of burning sensation (quite a lot) while passing urine. Her Urine R/E Examination shows Physical Color of Reddish with Blood and Specific Gravity >=1.030 with pH=5. Proteins are present (3+ or 300mg/dL) with Leucocyte Esterase as Positive. RBC are >100/HPF and Pus Cells are 5-7 WBC/HPF. She has no backache to speak of over and above due to Cervical & Lumbar Spondylytis. Urine Culture Analysis is still awaited. Please advise.

Also, she has had Breast Cancer with Left Breast Masectomy in 1998 and has had required sessions of Chemo and Radio-therapies....goes in for Annual Mammography Tests. She seems fine from the Cancer-front.
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Answered by Dr. Rakesh Madhyastha (2 hours later)
Brief Answer:
Urgent evaluation required

Detailed Answer:
Hello

Thanks for the query

The urine examination you have furnished does not look like that of a typical urinary tract infection. It looks more like glomerulonephritis ( inflammation of the kidney I suggest you to get the following things done urgently

1. Ultrasound of the kidney, ureter and bladder
2. Complement 3 and complement 4
3. renal function test
4. once the above results are out i recommend biopsy of the kidney as soon as possible

Please approach a nephrologist near you I

I hope I was of help, if you have any further doubts please get back to me
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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What Does This Routine Urine Examination Report Indicate?

Brief Answer: Urgent evaluation required Detailed Answer: Hello Thanks for the query The urine examination you have furnished does not look like that of a typical urinary tract infection. It looks more like glomerulonephritis ( inflammation of the kidney I suggest you to get the following things done urgently 1. Ultrasound of the kidney, ureter and bladder 2. Complement 3 and complement 4 3. renal function test 4. once the above results are out i recommend biopsy of the kidney as soon as possible Please approach a nephrologist near you I I hope I was of help, if you have any further doubts please get back to me