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8 year old with no control on urination. Can you explain the urine routine report?

my daughter is 8 years old. she has no control on passing her urine from few days. doctors recommended URINE ROUTINE, the values are a sunder:
PHYSICAL EXAMINATION
COLOUR P. YELLOW, TURBID
VOLUME 15 ML
DEPOSIT NIL
CHEMICAL EXAMINATION
REACTION ACID
ALBUMIN +
SUGAR NIL
MICROSCOPIC EXAMINATION
PUS CELLS 15-20 / HPF
EPITHELIAL CELLS 2-3 / HPF
RBC'S 1-2 /HPF
CASTC NIL
CRYSTALS NIL
Please advise about the diseas and further treatment/investigations

Asked On : Fri, 19 Apr 2013
Answers:  1 Views:  44
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
Your daughter report of urine analysis is abnormal and consistent with Urinary Tract infection ( UTI) as there are pus cells and albumin + and RBCs 2-3/HPF.
This can cause frequency and burning of micturition, even fever may be there,
You need to visit Paediatrician and Urine culture and sensitivity may be required in the meantime empirically urinary specific antibiotics may be started and depending on sensitivity drug may be changed. This is what will be sufficient in most cases.
If her control of micturition improves then it is fine and if required a Ultrasonography to see any abnormality like stone,in her age VUR ( Vesicoureteral reflux) should be ruled out by Fluoroscopic voiding cystourethrogram (VCUG) and/or Ultrasonic cystography,and consultation of Urologist may be required.
Please Take care
Good Luck


Answered: Fri, 19 Apr 2013
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