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Had a hemoglobin and urine culture test done. What do they state?

Hello Doctor, i am 28 weeks pregnant and had a HEamoglobin test and urine culture test. The reports are as follows haemoglobin-8.0g/dl platelet count-2.09 lakhs/cu mm URINE REPORT PHYSICAL EXAMINATION COLOUR-PALE YELLOW APPEARANCE-TURBID PH-6.0 sPECIFIC gRAVITY-1.010 CHEMICAL EXAMINATION PROTEIN-TRACES GLUCOSE-NIL BILE SALT-NEGATIVE BILE PIGMENT-NEGATIVE URO BILINOGEN-NEGATVE KETONE BODIES-ABSENT NITRITES-ABSENT MICROSCOPIC EXAMINATION LEUKOCYTES-20-25 ERYTHROCYTES-00 EPITHELIAL CELLS-8-10 CASTS -NOT SEEN CRYSTALS-NOT SEEN OVAL FAT BODIES-NOT SEEN.
Asked On : Tue, 16 Oct 2012
Answers:  3 Views:  62
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Internal Medicine Specialist 's  Response
Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.

A haemoglobin of 8 gm % indicates anaemia and is common in pregnancy and needs supplements. It is significant and needs to be evaluated further.

A turbid urine with 20-25 leukocytes indicates an UTI (urinary tract infection).
It needs urine culture and appropriate antibiotic course and evaluation by an expert.
Your gynaecologist can help you with these problems.

I hope you are fully satisfied with the guidance I gave.
I would be glad to answer any further queries.
Thank you and Good luck!
Answered: Wed, 17 Oct 2012
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General & Family Physician Dr. Das Arindam's  Response
Sep 2012
HI, Welcome to HCM
THe reports indicates low hemoglobin level that is moderate anemia. PLatelet is ok.
Urine report shows normal values except the acidic pH and presence of high amount of WBC which indicates presence of urinary tract infection. ABsence of protein, glucose and urobillinogen, krtone bodies indicates absence of any complication of pregnancy.
SO, overall you have moderate degree of anemia and urinary tract infection.
Answered: Tue, 16 Oct 2012
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Pathologist and Microbiologist Dr. Shailja Puri 's  Response
Hello and welcome to HCM

Your hemogram suggests that you have Anemia as your hemoglobin is low (8 gm%).
Normally, it should be above 11 gm% in Indian female population.
Pregnancy is a state of increased demands and if those demands are not met, deficiencies develop.
The most common type of anemia developing during pregnancy is Iron deficiency anemia.
Iron is required for synthesis/ production of heme part of the hempglobin molecule. Iron is present in diet.
If there is decreased supply in diet or increased requirement by the body, iron deficiency develops.
However, further tests are required to know whether the anemia is due to iron deficiency or any other cause. So, you need to get RBC parameters done. It includes MCV, MCH and MCHC.

During pregnancy, iron-folic acid capsules are given to all pregnant women irrespective of their hemoglobin levels as pregnancy is a state of physiological anemia.
See that you take iron-folic acid capsules in case you are taking them but do get the RBC parameters which I mentioned to rule out other causes of anemia.

Your platelet count is normal. Normal range for platelets is between 1.5 to 4.5 lakhs/ cubic millimeter.

Your urine report says that the physical features like pH and specific gravity are within normal limits.
Chemical examination reveals that no pathological constituents like glucose, proteins, bile salts, bile pigments, ketone bodies or urobilinogen are absent.

Only positive findings are presence of pus cells or leucocytes and presence of epithelial cells.
Presence of these two cell types indicate infection in the urinary tract.
You require an urine culture for the organism causing infection. A course of antibiotics will be required to eradicate the infection.

Thanks and take care
Dr Shailja P Wahal

Answered: Tue, 16 Oct 2012
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