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What does mucus OCC mean for a urine test result? Elevated ESR, EMCH and monocytes. Have osteoarthritis and spinal stenosis

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Pediatrician, Infectious Diseases
Practicing since : 2005
Answered : 1528 Questions
What dose Mucus OCC mean for urine test result, also last result said (rare)? Tea color in AM ? Last three lab test show elevated ESR 14, EMCH 31.8, MONOCYTES/100 9.6 High,
ALPHA-1-FETOPROTEIN 14 High, ( PSA &ANA checked out good)
Current conditions, Osteoarthritis hip, DJD spinal steonosis lower spine, (chronic pain in left flank lower rib 5 months cause unknown?), hip/ back chronic pain. Health, light smoker, non drinker. Accurate resting BP ranges 89/58 to 165/100 cause unknown). My VA Doctor says these labs are normal ranges and not concerned. Any help would be greatly appreciated. I am a OIF Vet, 2009,
Posted Fri, 27 Apr 2012 in X-ray, Lab tests and Scans
Answered by Dr. Hema Yadav 2 hours later
Hello ,
Thanks for posting your query.
Mucus Occ stands for presence of occult (hidden or microscopic or mininmal) amount of mucus in urine.It can be considered a normal phenomena if there are no associated symptoms or findings like pus cells or occult blood or bacteria in urine.
Such mucus or other normal crystals can make the urine appear turbid too.
Normal urine is straw yellow to XXXXXXX in color. Abnormal colors include bright yellow, brown, black (gray), red, and XXXXXXX These pigments may result from medications, dietary sources, or diseases. For example, red urine may be caused by blood or hemoglobin, beets, medications, and some porphyrias.
So as of now your urine might be considered normal.
Answer 2.
Your esr is a bit elevated(normal upper level is 10) which can occur in chronic inflammatory conditions (? Arthritis) or chronic bacterial infections etc
Your monocytes and erythrocyte mean corpuscular hemoglobin (emch)could be considered appropriate as their mild elevation without associated symptoms is not suggestive of anything.
Answer 3
Serum Alfa feto protein might be elevated in secretory tumours, wilms tumourof kidney, heoatitis, , liver carcinoma,colitis or other many causes.However its level varies with the method & type of tests done .So since all other tests are normal it is not suggestive and might either be ignored or evaluated in future to rule out a renal , hepatic or endocrine tumour if clinically indicated.
As of now your doctor might be right in avoiding any further tests.
If advised you should get a baseline ultrasound abdomen done too.

Hope I have answered your query.

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