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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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During Urinalysis Leukocyte Esterase Always Comes 2+. What Does It Mean. Should I Be Worried?

hi there!! I have ra and have routine blood work... urinalysis always comes up yellow/clear& Leukocyte esterase comes up 2+.....I have been told not to worry, always the same results~every blood test . Dr. called me 2 or 3 times about the results and asked me if I have burning or itching or any thing like that!? I always told them no, not at all. What does this 2+ mean and do I have to be concerned? Thank you for your time~~
Fri, 17 Aug 2012
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM.
it means a test to detect urinary infection is positive. but it is indicative . to be interpreted in the presence other clinical data like symptoms. other test results.
are you on any immune suppressants for severe RA?
then infection may not be apparent as normally would.
if in doubt, ask your doctor if a urine culture is needed if there are pus cells in the urine microscopy report, even you have no symptoms.
I hope to have guided you in right direction.
take care and keep me posted on your progress.
good luck !
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During Urinalysis Leukocyte Esterase Always Comes 2+. What Does It Mean. Should I Be Worried?

Dear friend, welcome to HCM. it means a test to detect urinary infection is positive. but it is indicative . to be interpreted in the presence other clinical data like symptoms. other test results. are you on any immune suppressants for severe RA? then infection may not be apparent as normally would. if in doubt, ask your doctor if a urine culture is needed if there are pus cells in the urine microscopy report, even you have no symptoms. I hope to have guided you in right direction. take care and keep me posted on your progress. good luck !