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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Leucocytes Count 8-10/HPF And Epithelial Cells 5-8/HPF Suggest?

Hello I am 63 old man, diabetic with sugar level app. 200 empty stomach. I am taking Glinze MF, thrice a day. Recently I got my urine test coz of some burning feeling and found Leucocytes count 8-10/HPF* and Epithelial Cells count 5-8/HPF* Your advise will help me to get rid of tension Thanks
Tue, 15 Jul 2014
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General & Family Physician 's  Response
Dear Sir, your urine report is suggestive of urinary tract infection. Leucocytes in urine more than 7/HPF is suggestive of urinary tract infection.I would suggest you to give your urine sample for culture and sensitivity so that a right choice of antibiotic can be prescribed your doctor. I would also suggest you to consult your Diabetologist regarding your blood sugar control.A good blood sugar control with antibiotic taken as per the sensitivity profile will provide you relief.Also take plenty of water to alkalanise the urine and reduce the burning sensation.Wishing you the best.
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  User's Response
The leucocyte count in your urine is higher than the normal range. This may be due to infection or inflammation in the urinary tract or due to contaminated sample. As you are known diabetic with poor control, there is increased chance of urinary tract infection. Moreover, any infection can alter your blood glucose control.
Secondly, you are symptomatic too.
Hence, my advice will be-
1. Plenty of oral fluid+ maintenance of local hygiene
2. Investigation- total and differential wbc count of blood sample, urine culture & sensitivity testing
3. Stringent blood sugar control
4. If you are febrile or having progressively increasing symptoms you have to start antimicrobial treatment to prevent complicated uti.
5. Broad spectrum antibiotic to be started after sending the samples for investigation.
6. Specific antimicrobial treatment after sensitivity report.
7. Lastly, please mention your diet and lifestyle for further advice. If you are on diet and lifestyle modification alongwith medication, blood for HBA1c needs to be tested to modify your medication for diabetes.
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What Does Leucocytes Count 8-10/HPF And Epithelial Cells 5-8/HPF Suggest?

Dear Sir, your urine report is suggestive of urinary tract infection. Leucocytes in urine more than 7/HPF is suggestive of urinary tract infection.I would suggest you to give your urine sample for culture and sensitivity so that a right choice of antibiotic can be prescribed your doctor. I would also suggest you to consult your Diabetologist regarding your blood sugar control.A good blood sugar control with antibiotic taken as per the sensitivity profile will provide you relief.Also take plenty of water to alkalanise the urine and reduce the burning sensation.Wishing you the best.