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What Does This Urinalysis Showing High Urine RBC Indicate?
Question: Urine results:
Urine RBC 11-30
Non renal epithelial cells >10
Cast type Hyaline
Urine bacteria Few
Urine Occult Blood 2+
Urine Protein Screen Trace
What is this indicative of ?
Urine RBC 11-30
Non renal epithelial cells >10
Cast type Hyaline
Urine bacteria Few
Urine Occult Blood 2+
Urine Protein Screen Trace
What is this indicative of ?
Brief Answer:
Possible damages to urinary tract...
Detailed Answer:
Hi,
I have gone through your urine test report. Can you please upload the full report? I need to analyze some other parameters myself!
As the urine RBC were high and urine occult blood was 2+, then, this is indicative for possible damages to your urinary tract pathways most probably caused by:
- infection
- stones
- sludge
The Hyaline Cast can be present in normal people in low quantity. Therefore, the quantity is important to identify if further damages to the kidneys has been developed. You can send in the report to analyze it myself.
The presence of urine protein (trace) is indicative for kidney damages:
- temporary causes (Cold/heat exposure, fever, emotional stress, Strenuous exercise)
- kidney diseases (glomerulonephritis, etc.)
- non-kidney problems (diabetes, hypertension, etc.)
To determine the final conclusions, further :
- blood tests are needed to rule out diabetes,
- monitoring of blood pressure is advised
- abdominal ultrasound
Looking forward to have the full reports in for further evaluations!
Dr.Albana
Possible damages to urinary tract...
Detailed Answer:
Hi,
I have gone through your urine test report. Can you please upload the full report? I need to analyze some other parameters myself!
As the urine RBC were high and urine occult blood was 2+, then, this is indicative for possible damages to your urinary tract pathways most probably caused by:
- infection
- stones
- sludge
The Hyaline Cast can be present in normal people in low quantity. Therefore, the quantity is important to identify if further damages to the kidneys has been developed. You can send in the report to analyze it myself.
The presence of urine protein (trace) is indicative for kidney damages:
- temporary causes (Cold/heat exposure, fever, emotional stress, Strenuous exercise)
- kidney diseases (glomerulonephritis, etc.)
- non-kidney problems (diabetes, hypertension, etc.)
To determine the final conclusions, further :
- blood tests are needed to rule out diabetes,
- monitoring of blood pressure is advised
- abdominal ultrasound
Looking forward to have the full reports in for further evaluations!
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Component Results 5/7/14
Component Standard Range Your Value
GLUCOSE 65 - 99 mg/dL 81
BUN 6 - 24 mg/dL 15
CREATININE 0.57 - 1.00 mg/dL 0.75
EGFR IF NONAFRICAN AM >59 mL/min/1.73 98
GLOM FILTRATION RATE, EST >59 mL/min/1.73 113
BUN/CREATININE RATIO 9 - 23 20
SODIUM 134 - 144 mmol/L 139
POTASSIUM 3.5 - 5.2 mmol/L 4.7
CHLORIDE 97 - 108 mmol/L 101
CO2 19 - 28 mmol/L 26
CALCIUM 8.7 - 10.2 mg/dL 9.1
TOTAL PROTEIN 6.0 - 8.5 g/dL 6.4
Serum Albumin 3.5 - 5.5 g/dL 4.1
GLOBULIN SERUM 1.5 - 4.5 g/dL 2.3
A/G RATIO 1.1 - 2.5 1.8
BILIRUBIN TOTAL 0.0 - 1.2 mg/dL 0.3
Alkaline Phosphatase 39 - 117 IU/L 66
SGOT (AST) 0 - 40 IU/L 19
SGPT (ALT) 0 - 32 IU/L 17
Component Results 5/14/14
Component Standard Range Your Value
URINE SPECIFIC GRAVITY 1.005 - 1.030 1.029
URINE pH 5.0 - 7.5 6.0
URINE COLOR Yellow Yellow
URINE APPEARANCE Clear Turbid
URINE LEUKOCYTE ESTERASE Negative Negative
URINE PROTEIN SCREEN Negative/Trace Trace
URINE GLUCOSE Negative Negative
URINE KETONES Negative Negative
URINE OCCULT BLOOD Negative 2+
URINE BILIRUBIN Negative Negative
URINE UROBILINOGEN 0.0 - 1.9 mg/dL 0.2
URINE NITRITE Negative Negative
MICROSCOPIC EXAMINATION
Component Results 5/14/14
Component Standard Range Your Value
URINE WBC 0 - 5 /hpf 0-5
URINE RBC 0 - 3 /hpf 11-30
NON RENAL EPITHELIAL CELLS URINE 0 - 10 /hpf >10
CAST None seen /lpf Present
CAST TYPE N/A Hyaline casts
MUCUS THREADS Not Estab. Present
URINE BACTERIA None seen/Few Few
Component Standard Range Your Value
GLUCOSE 65 - 99 mg/dL 81
BUN 6 - 24 mg/dL 15
CREATININE 0.57 - 1.00 mg/dL 0.75
EGFR IF NONAFRICAN AM >59 mL/min/1.73 98
GLOM FILTRATION RATE, EST >59 mL/min/1.73 113
BUN/CREATININE RATIO 9 - 23 20
SODIUM 134 - 144 mmol/L 139
POTASSIUM 3.5 - 5.2 mmol/L 4.7
CHLORIDE 97 - 108 mmol/L 101
CO2 19 - 28 mmol/L 26
CALCIUM 8.7 - 10.2 mg/dL 9.1
TOTAL PROTEIN 6.0 - 8.5 g/dL 6.4
Serum Albumin 3.5 - 5.5 g/dL 4.1
GLOBULIN SERUM 1.5 - 4.5 g/dL 2.3
A/G RATIO 1.1 - 2.5 1.8
BILIRUBIN TOTAL 0.0 - 1.2 mg/dL 0.3
Alkaline Phosphatase 39 - 117 IU/L 66
SGOT (AST) 0 - 40 IU/L 19
SGPT (ALT) 0 - 32 IU/L 17
Component Results 5/14/14
Component Standard Range Your Value
URINE SPECIFIC GRAVITY 1.005 - 1.030 1.029
URINE pH 5.0 - 7.5 6.0
URINE COLOR Yellow Yellow
URINE APPEARANCE Clear Turbid
URINE LEUKOCYTE ESTERASE Negative Negative
URINE PROTEIN SCREEN Negative/Trace Trace
URINE GLUCOSE Negative Negative
URINE KETONES Negative Negative
URINE OCCULT BLOOD Negative 2+
URINE BILIRUBIN Negative Negative
URINE UROBILINOGEN 0.0 - 1.9 mg/dL 0.2
URINE NITRITE Negative Negative
MICROSCOPIC EXAMINATION
Component Results 5/14/14
Component Standard Range Your Value
URINE WBC 0 - 5 /hpf 0-5
URINE RBC 0 - 3 /hpf 11-30
NON RENAL EPITHELIAL CELLS URINE 0 - 10 /hpf >10
CAST None seen /lpf Present
CAST TYPE N/A Hyaline casts
MUCUS THREADS Not Estab. Present
URINE BACTERIA None seen/Few Few
Brief Answer:
Following problems noted...
Detailed Answer:
Hi there,
Thank you for sending in the full report. My first thought when looking at this report goes for impurities in urine sample, If I was your caring doctor, would ask for another test.
If you are sure that the urine is collected accordingly, then, :
- The presence of blood and hyaline casts in urine are indicative for damages to urinary pathways, but your kidney are not suffering (BUN, creatinine, GPFR, they are all perfect). Your blood sugar is fine (within normal levels).
- It is strange that I have not see any report over urine crystals. Stones or sludge (mini-crystals) can be a possible cause.
- Monitoring of blood pressure is also advised.
- Another thing that comes in mind is the blood might be derived from your genitalia (local skin scratching, or laceration of genitalia due to infection). Possibly, but not definitely as long as "non-renal epithelial cells in urine were >10". I advise to run vaginal swab testing too. Get sure that you do not pee prior to do the swab testing.
Hope it helped! If anything unclear, do not hesitate to write me back!
Dr.Albana
Following problems noted...
Detailed Answer:
Hi there,
Thank you for sending in the full report. My first thought when looking at this report goes for impurities in urine sample, If I was your caring doctor, would ask for another test.
If you are sure that the urine is collected accordingly, then, :
- The presence of blood and hyaline casts in urine are indicative for damages to urinary pathways, but your kidney are not suffering (BUN, creatinine, GPFR, they are all perfect). Your blood sugar is fine (within normal levels).
- It is strange that I have not see any report over urine crystals. Stones or sludge (mini-crystals) can be a possible cause.
- Monitoring of blood pressure is also advised.
- Another thing that comes in mind is the blood might be derived from your genitalia (local skin scratching, or laceration of genitalia due to infection). Possibly, but not definitely as long as "non-renal epithelial cells in urine were >10". I advise to run vaginal swab testing too. Get sure that you do not pee prior to do the swab testing.
Hope it helped! If anything unclear, do not hesitate to write me back!
Dr.Albana
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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