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What Does This Urinalysis Report Indicate?
Question: Hello
I am XXXXX, in the year 2013 my son showed sign of weakness and loss in appetite. After going through tests he was diagnosed with SLE. He had low HB count, low WBC count and reports of ANA and DSDNA He was started with Omnacortil 10 mg, HCQS 200 daily. his health improved and as of now he takes omnacrtil 2.5 mg twice a week and HCQS 200 daily.
Physical XXXXXXX he is fine. We get a routine urine done once in 2 month or sometime once in a month.Mostly reports are fine but sometime trace or + protein comes. Is it worrying?. As for example I am sending u this time reports. Please have a look and advice.
I am XXXXX, in the year 2013 my son showed sign of weakness and loss in appetite. After going through tests he was diagnosed with SLE. He had low HB count, low WBC count and reports of ANA and DSDNA He was started with Omnacortil 10 mg, HCQS 200 daily. his health improved and as of now he takes omnacrtil 2.5 mg twice a week and HCQS 200 daily.
Physical XXXXXXX he is fine. We get a routine urine done once in 2 month or sometime once in a month.Mostly reports are fine but sometime trace or + protein comes. Is it worrying?. As for example I am sending u this time reports. Please have a look and advice.
Brief Answer:
It is important to exclude UTI.
Detailed Answer:
Hello
I have gone through your son's findings in detail.
Urine analysis findings may suggest urinary tract infection(UTI).
UTI is indicated by presence of excessive pus cells in urine.Up to 5 pus cells are normally found in urine.However,some laboratory consider upper limit of pus cells in urine as 10.UTI can be confirmed by urine culture/sensitivity.Nitrite test and leukocyte esterase test can also be done for confirmation of urinary tract infection.
Trace amount of protein is normally found in urine,otherwise it may also be related to UTI(UTI may cause excessive excretion of protein).
If UTI is not confirmed then he may need other tests like 24 hour protein excretion in urine.
He need proper clinical examination and routine investigations.
Investigations include random blood sugar,ultrasound of abdomen.
He may need antibiotics based upon culture and sensitivity report.
Drink plenty of water.
I also suggests alkalyzing syrups to my patients.
His findings also suggests anemia(low hemoglobin level).
Most likely it is iron deficiency anemia.
Empirically he can take iron rich foods like green leafy vegetable,jaggery etc.
He can also take iron-zinc combination tablet once daily.He can take one glass of lemon water along with iron tablet,it helps in better absorption of iron.
Single dose of folic acid tablet should also be taken.
If he is non vegetarian then he can also take liver etc.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
It is important to exclude UTI.
Detailed Answer:
Hello
I have gone through your son's findings in detail.
Urine analysis findings may suggest urinary tract infection(UTI).
UTI is indicated by presence of excessive pus cells in urine.Up to 5 pus cells are normally found in urine.However,some laboratory consider upper limit of pus cells in urine as 10.UTI can be confirmed by urine culture/sensitivity.Nitrite test and leukocyte esterase test can also be done for confirmation of urinary tract infection.
Trace amount of protein is normally found in urine,otherwise it may also be related to UTI(UTI may cause excessive excretion of protein).
If UTI is not confirmed then he may need other tests like 24 hour protein excretion in urine.
He need proper clinical examination and routine investigations.
Investigations include random blood sugar,ultrasound of abdomen.
He may need antibiotics based upon culture and sensitivity report.
Drink plenty of water.
I also suggests alkalyzing syrups to my patients.
His findings also suggests anemia(low hemoglobin level).
Most likely it is iron deficiency anemia.
Empirically he can take iron rich foods like green leafy vegetable,jaggery etc.
He can also take iron-zinc combination tablet once daily.He can take one glass of lemon water along with iron tablet,it helps in better absorption of iron.
Single dose of folic acid tablet should also be taken.
If he is non vegetarian then he can also take liver etc.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
got urine cultured. Looks fine no growth. UTI possibility ruled out. Our doctor says + one protein not significant. I will keep up your advice on the diet part for low iron.
Brief Answer:
It is good that urine test is normal.This rules out UTI.
Detailed Answer:
Hello
It is good that urine test is normal.This rules out UTI.
Trace amount of protein is normally found in urine.
Patient can take iron supplements.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
It is good that urine test is normal.This rules out UTI.
Detailed Answer:
Hello
It is good that urine test is normal.This rules out UTI.
Trace amount of protein is normally found in urine.
Patient can take iron supplements.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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