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Analysis of blood and urine report - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: X-ray, Lab tests and Scans
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General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   I saw blood in my urine. I give below the blood report, urine report and ultrasound scan of abdomen. Kindly advise me about future treatment.

P.GLUCOSE-RANDOM     98 mg/dL     70-130
BLOOD UREA     29 mg/dl     15-43
S.CREATININE     1.7 mg/dL     0.7-1.4
S.URIC ACID     6.2 mg/dl     3.4-7

URINE SUGAR          : NIL
MICROSCOPY: PUS CELLS               : 12-15 / HPF
RBC                    : 40-45 / HPF
EPI CELLS               : 2-4 / HPF

Liver: Minimal hepatomegaly seen – 164 mm. increased echogenicity. No focal lesions. Intra hepatic biliary radicles not dilated.
Gall bladder: show normal distension and wall thickness. No calculi.
Biliary system: not dilated. CBD measures 3.3 mm, portal vein measures 8.3 mm.
Spleen: normal, no splenomegaly.
Pancreas : normally visualized. No focal lesions.
Right kidney: 9.4 x 3.8 cms. No calculus or hydronephrosis. Cortico medullary differentiation maintained. Suprarenal area normal.
Left kidney: 9.7 x 4.4 cms. No calculus or hydronephrosis. Cortico medullary differentiation maintained. Suprarenal area normal.
Urinary bladder: show normal distension and wall thickness. No calculus. 250 ml residual urine present
Prostate: Show grade I enlargement, volume 24.0 ml.
Aorta and para aortic region : normal.
Ascites : No ascites seen.

IMPRESSION: Ultrasound of abdomen reveal;
a)     Fatty liver.
b)     Grade I prostatomegaly with 250 ml residual urine.
c)     Normal echotexture of gall bladder, spleen, pancreas and kidneys.

Doctor :   This is Dr. xxx , I am going thru your query plz wait
User :   ok xxx
User :   ok sir
Doctor :   what is your age
User :   38 years. DOB : 25th June 1972
User :   male
Doctor :   can u givem e your specific sympttoms & reason fro doing the test ?
Doctor :   did u see red blood in ur urine ?
User :   yes sir. Three days back when I urinated, I saw blood.
User :   firstly, there was no blood.
Doctor :   ok
User :   only urine.
Doctor :   did u see blood at the begininig of the stream or at the end ?
User :   no pain at at that time.
User :   at the end.
Doctor :   ok
User :   before seeing blood. i felt pain.
User :   then saw blood.
Doctor :   the presence of blood at the end of stream indicates a pathology in the bladder
User :   when I felt pain, I was not able to pass complete urine left in the bladder.
Doctor :   as that could be the clot or infection
User :   ok. sir.
User :   going through ultrasound of abdomen, what is my future treatment sir.
User :   in the ultrasound, it is shown "Prostate: Show grade I enlargement, volume 24.0 ml."
Doctor :   since the prostrate is slightly enlarged, i would like to aqsk u if u have problems urinating?
Doctor :   do u urinate at normal intervals ?
Doctor :   do u wake up at night to urinate ?
User :   yes. on some days, i feel to urinate more.
Doctor :   the best way forward is to consult a urologist
Doctor :   and then, he may feel that if cystoscopy ( a type of endocopic evaluation) may be needed
User :   yes. urologist prescribed these tests and i got the report. i am seeing the urologist tomorrow.
Doctor :   ok
Doctor :   now, since there is blood in urine
Doctor :   he may request u to undergo a cystoscopy
Doctor :   to see if there is any bleeding point in the bladder
User :   ok sir.
Doctor :   once the cystoscopy is done , there would be a specific diagnosis , and we can work on that and treat that issue specifically
Doctor :   Are u following my advice ?
User :   yes sir.
Doctor :   Do u have any other query?
Doctor :   I hope i have solved your queyr
User :   sir
Doctor :   by the way, other than presence of fatty liver, and bph, REST is normal in your USG
Doctor :   THE blood cells are probably of the urinary bladder origin
User :   what about fatty liver sir. will there be any problem?
Doctor :   do u drink ?
User :   no sir.
Doctor :   in that case, it would be due to dietary habit d
Doctor :   tryu to diet
Doctor :   and excercise
Doctor :   and it would reduce iover time
User :   yes sir.. which food to be avoided? which to be included? I am vegetarian.
Doctor :   high fat , foods
Doctor :   to be avouded and high carb fod to be avoided as well
User :   sir.
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