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What causes presence of WBC and RBC in urine?

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Posted on Sat, 8 Aug 2015
Question: I had an urine sample taken for my clearance for hip replacement. WBC was abnormal 11-30. RBC abnormal v3-10. Trace of blood. My blood tests came back fine. Dr put me on antibiotics. Would something like this keep me from getting hip replacement? My Dr gave me clearance, but its really up to surgical dr
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Answered by Dr. P. T. Patil (49 minutes later)
Brief Answer:
You have UTI

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have been posted for surgery of Joint Replacement and your routine urine test revealed presence of WBC and RBC in urine suggesting mild UTI..

This is normal to have mild UTI in females at this age and can be overcomed by taking appropriate antibiotics for q aweek,

Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.

Please take broad spectrum antibiotics like Cefiexime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute.

After taking an antibiotics for a week Operating Surgeon mostly will not hesitate to go ahead with surgery .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. P. T. Patil (28 minutes later)
Thank you. My urine culture was normal. My Dr prescribed nitrofurantoin twice daily. I know you mentioned other meds too, but by just taking this one, will it help? My hip replacement is scheduled for August 5th Thanks again
doctor
Answered by Dr. P. T. Patil (3 minutes later)
Brief Answer:
Taking medicine will help to eradictate infection .

Detailed Answer:
Hello
Thanks for follow up.Taking Nitrofurantoin will eradicate infection,

Repeat your urine test and culture after completion of taking medicines .

It will be definitely normal and you will not to worry about postponement of surgery that has been planned on 5th August.
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10344 Questions

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What causes presence of WBC and RBC in urine?

Brief Answer: You have UTI Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have been posted for surgery of Joint Replacement and your routine urine test revealed presence of WBC and RBC in urine suggesting mild UTI.. This is normal to have mild UTI in females at this age and can be overcomed by taking appropriate antibiotics for q aweek, Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Cefiexime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute. After taking an antibiotics for a week Operating Surgeon mostly will not hesitate to go ahead with surgery . Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you Thanks and Regards. Dr.Patil