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What Does This Urinalysis Report Indicate?

Posted on Fri, 19 Dec 2014

Question: During a urinalysis i was noted to have a bld level of 10mg/ul and a protein level of 30mg/dl . Is this cause of concern of kidney disease or anything else ? I have had frequent urination but with no discomfort. I have no abd pain , back pain, flank pain or noted fever. Mild fatigue. The only medications i am on is loryna birth control and advair for my asthma . During my first visit with a urologist she checked for possible cervical cyst during a pelvic exam and that was negative. She sent me to have a kidney ultrasound done there are no resta yet.

Answered by Dr. Dr.Albana Sejdini (1 hour later)

Brief Answer:
Urinary tract infection,not worrisome,antibiotics advised...

Detailed Answer:
Hi XXXXXXX,

I have gone through your medical history carefully and understood your concerns.

Having bld level of 10 mg/ul and protein level of 30 mg/dl in your urine is indicative for urinary tract infection (UTI) with slight damages to the function of your kidney. This is not worrisome, but is indicating that you have been having UTI for long time, but it was not treated until now.

Abdominal (kidney) ultrasound result is needed to see if any changes in the structure of your kidney and if stones/sludge is present.

Once again, it is not worrisome, but need proper treatment with :
- prescription antibiotics
- herbal supplement for UTI (containing uva-ursi, cranberry, fern stone, etc.)

Wish fast recovery!
Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Albana Sejdini (15 minutes later)

Hello , thank you for your reply. When i got the urinalysis it was negative for a uti. I will attach an image of the reading. I also had a cbc done during that time which came back normal. With slight kidney damage what does this mean? Will it heal post antibiotics? Am i at risk in the future?

Thank you !

Answered by Dr. Dr.Albana Sejdini (13 hours later)

Brief Answer:
Suspected increased physical activity prior to testing...

Detailed Answer:
Hi back,

Thank you for your follow up queries.

I was going through the urine analysis report you sent in and I can say as following:
- to determine UTI, I advise to culture the urine
- next, abdominal ultrasound is necessary to rule out urinary/kidney stones/sludge
- you might have had an intensive physical activity prior/a day before the testing has been carried out

Slight (mild) kidney damage is determined by the presence of protein in urine. Once the final diagnosis is determined, the most appropriate treatment will be prescribed.

You should get regular follow ups to prevent further permanent changes to the kidneys. For the moment, these are temporary changes that will improve by passing of time and proper treatment.

Hope it answered to your queries!
Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Albana Sejdini (2 days later)

Hello ,

I have just heard from my urologist and they would like to refer me to a nephrologist due to consistent protein in my urine and my ultrasound displaying mild fullness to the right intrarenal collecting system but otherwise unremarkable . Can you explain this to me ?

Thank you !

Answered by Dr. Dr.Albana Sejdini (1 hour later)

Brief Answer:
Need to have ultrasound report...

Detailed Answer:
Hi back,

It is great to know that you will continue following up with nephrologist. I need to have the full ultrasound report to give a more specific answer.

Anyway, from what you are describing, the mild fullness to the right intrarenal collecting system is indicative for possible obstacle on your right kidney, which is causing mild fullness. This obstacle could be:
- congenital narrowing or morphological alterations
- sludge or crystals/stones

Further examinations with nephrologist are needed to determine the right cause and the right management.

Hope it helped!
Dr.Albana

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar