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What does this urine test result indicate?

DOCTOR OF THE MONTH - Feb 2018
Feb 2018
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Question
my wife is suffering from urine infection. test report of urine routine shows pus cells more thatn100/hpf. urnin culture report is yet to come. Bacteria is present+. Albumin is ++(100mg/dl). there is pain in urine area. Doctor has given some medicine and told me that we have to wait for culture report than only it is possible to give antibiotic accordingly. is there any problem on kidney during this course.
Posted Wed, 27 Aug 2014 in Urinary and Bladder Problems
 
 
Answered by Dr. T Chandrakant 1 hour later
Brief Answer:
As advised

Detailed Answer:
Hi.
Such infection is never acquired by using public / railway toilet. This is possibly due to her taking less water during such journey to avoid to go to the toilet. This happens naturally and she should take plenty of oral fluids including water.

Read the report.
The report of pus cells of > 100 is a bit difficult to decipher / understand but it is OK, this may be the way they write in XXXXXXX Due to so many pus cells the proteins will be seen as reported.

I was wondering with so much infection your wife has only pain in the urine area.
Do you mean to say she has no fever, no chills and no pain in abdomen ??

Was the urine given in a sterile container supplied by the laboratory or just a cleaned bottle at home?

Continue the medicines given by your Doctor and He may change over or may continue the same as per the report of culture and sensitivity report.

Ask you wife to take plenty of water in any form, flushing out the infection with more water is very important. No sexual contact till she gets OK.
Also advisable to have rest, get at least one ultrasonography and if possible to get Intraveous Pyelography ( IVP) done.
I hope she is not diabetic or has a history of Tuberculosis in her or in family.


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Follow-up: What does this urine test result indicate? 1 hour later
Yes during last three days of this infection she is not having fever but she had done vomiting twice. Also for ur information the sample was submitted in sterilized bottle purchased from medical store. Sir I have read some where that presence of pus cells in excess qty means there is a chance of kidney damage or its disease. Is it correct. Also what precautions should we take that this will not happen in future again.
 
 
Answered by Dr. T Chandrakant 29 minutes later
Brief Answer:
More investigations / Urologist & Gynecologist

Detailed Answer:
Thanks for your feedback.

You are right, in some cases so many pus cells indicate a problem more than just a urinary tract infection.
So is the need for further investigations::
Blood- CBC, urea, creatinine, sugar.
Ultrasonography
IVP
X-ray Chest
Urine for Tuberculosis
May be- Quantiferon gold test if TB is suspected by your Surgeon / Urologist.

Good that you used sterile container.
The Precautions:
Treatment till she is cured of the infection and declared by the Urologist that she is fit. UTI needs a long treatment, removal of the stone or other forms of obstruction if found on investigations. Gynecologist's Examination to see that she does not have any Gynecological problems like white discharge or other forms of infection- if present you should also take a 7 day course of antibiotic, metronidazole and anti-fungal ( if you too have balanoposthitis or such problems- these are normal and usual problems in many couples).

Please ask for more if you need further information or clarification.
Above answer was peer-reviewed by
 
Follow-up: What does this urine test result indicate? 1 hour later
Sir last question my consulting doctor is gynaecologist. Not urologist. Just the culture and sensitivity report I HV received. Should I continue the treatment after showing this report to my gynaecologist doctor. Or consult to urologist for next treatment.
 
 
Answered by Dr. T Chandrakant 1 hour later
Brief Answer:
Definitely Urologist

Detailed Answer:
It is good that the consulting Doctor is Gynecologist at the moment. This means that the Gynecologist must have ruled the Gynecological reasons like prolapse and related infections which I already discussed with you.

I think it is the best to consult an Urologist so that she will be thoroughly investigated to go to the root cause and get her cured.

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