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What does this urinalysis report indicate?

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Posted on Wed, 11 May 2016
Question: Hello, I am not certain if it is related but I was on lipator 40 mg since approx. XXXXXXX It did the trick in lowering my cholesterol but I now believe I some of what I have been experiencing is side effects. I discontinued a few weeks ago. I have had 3 uti since last July. In December I started experiencing lower back pain on the right side. I thought it was a back issue but when I had my 3rd uti in early January I started researching. I found the pain would stop once I drank a large amount of water. My Dr tried a round of antibiotics but I was still experiencing side pain and more than normal urination. I felt much better after a round of cipro but still have intermittent pain relieved by drinking water. My follow up urinalysis shows the following abnormal results - UA protein trace abn neg (mg/dl); UA blood moderate abn neg; UA rbc 14 Hi 0-2 (/hpf). Positive for blood abnormal. I have a kidney ultrasound scheduled on Monday but am worried sick worrying it might be cancer. What do these results indicate? I am a 52 year old woman, overweight and pre-diabetic.
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Answered by Dr. Bonnie Berger-Durnbaugh (49 minutes later)
Brief Answer:
Your urinalysis

Detailed Answer:
Hello and welcome,

I can understand why you would be worried, but your urinalysis does not mean you have kidney cancer. More likely than cancer is there may be a stone or stones or urinary gravel that is causing irritation. This can also increase your chances for a UTI/kidney infection.

Fourteen red blood cells per high powered field is abnormal, but while it is considered high, it is still so little that it would not be visible to the naked eye.

There may also be some residual irritation from the infection that you had that is causing the bleeding.

The blood could be occurring anywhere along the urinary tract - not necessarily the kidneys. If there is an irritation of your urethra, that could produce the amount of blood that was in your UA too.

Your doctor is wise to get kidney imaging studies. But please don't worry as it doesn't mean you necessarily have kidney cancer.

If you are willing, please let me know how you are doing after you have your ultrasound results.

I hope this helps. Please let me know if I can provide further information or clarification.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (20 minutes later)
Thank you so much. That definately helps to ease my anxiety. I will let you know after my results are back.
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Answered by Dr. Bonnie Berger-Durnbaugh (52 minutes later)
Brief Answer:
Thanks.

Detailed Answer:
Good - I hope you have a good weekend.

Best regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (21 days later)
Hello, Unfortunately I still don't know what is causing the issue. The kidney and bladder ultrasound were clear. I have an appointment in 2 weeks with a urologist
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (14 hours later)
Brief Answer:
Kidney ultrasound

Detailed Answer:
Well the good news is that no tumors, cysts, or stones were found in your urinary tract if your ultrasound was clear.

Are you still having the same symptoms?

Possibly there is a low grade infection that persists, although I'd think there would be more signs of that on the urinalysis such as increased white blood cells.

I'm thinking the opinion of one of our urologists might provide more information at this point. While they can't order tests, they might have more ideas about this. So if you would like to do that, you should close the discussion with me, and rewrite your question with the updated information. Also, write any medications you may be on including for other problems. And in the first line of your new question write "FOR UROLOGIST ONLY, PLEASE".

Good luck. I hope you will be able to get this sorted out soon.

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

General & Family Physician

Practicing since :1991

Answered : 3135 Questions

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What does this urinalysis report indicate?

Brief Answer: Your urinalysis Detailed Answer: Hello and welcome, I can understand why you would be worried, but your urinalysis does not mean you have kidney cancer. More likely than cancer is there may be a stone or stones or urinary gravel that is causing irritation. This can also increase your chances for a UTI/kidney infection. Fourteen red blood cells per high powered field is abnormal, but while it is considered high, it is still so little that it would not be visible to the naked eye. There may also be some residual irritation from the infection that you had that is causing the bleeding. The blood could be occurring anywhere along the urinary tract - not necessarily the kidneys. If there is an irritation of your urethra, that could produce the amount of blood that was in your UA too. Your doctor is wise to get kidney imaging studies. But please don't worry as it doesn't mean you necessarily have kidney cancer. If you are willing, please let me know how you are doing after you have your ultrasound results. I hope this helps. Please let me know if I can provide further information or clarification.