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4 year having white blood cells and red blood cells in the urine test report. Vomiting, high temperature. Worried

My four year old daughter had urine test which said Microscopy x10^3 per ml.
Red blood cells

My daughter had been vomiting for 5 days and had temperture, passing very small amouths of urine.
She is however now on the 6th day feeling and drinking better. This is the 4th time this year she has had this vomiting and temp.

Should i be worried about these results. Thanks Michelle
Asked On : Sun, 28 Apr 2013
Answers:  3 Views:  49
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General & Family Physician 's  Response
thanks for using health care magic.

The most common cause of white blood cells and
red blood cells in urine associated with fever is a
urinary tract infection which is probably due to the
Bacterium E. coli. Urinary tract infections with E. coli
usually present with digestive symptoms such as
vomiting and and loose stools.

Repeated urinary tract infections may be indicative
of a urinary tract malformation or poor hygiene both
of which have to be investigated upon. Malformations
are investigated upon by doing an ultrasound or CT
Urinary tract infections are treated with appropriate
antibiotics which your doctor should prescribe together
with some anti-pyretics to help bring down the
Best regards
Dr Achuo
Answered: Sun, 28 Apr 2013
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Pediatrician Dr. Balaji Chinnasami's  Response
Hi dear,
She is probably suffering from a urinary tract infection. I am happy that she is better now. But recurrence of episodes of fever & vomiting needs to be evaluated. You need to show her to a pediatrician. He might order ultrasound of kidneys to be sure that they are fine, and also investigations to see if there is reflux of urine into kidneys which can present as repeated episodes of fever and urinary tract infections. Don't worry she will be fine.
Take care
Dr. Balaji Chinnasami MD
Assistant Professor, pediatrics
Answered: Sun, 28 Apr 2013
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Internal Medicine Specialist Dr. Prasad Akole's  Response
Hi, welcome to healthcaremagic !
'Microscopy x10^3 per ml. Red blood cells ' is not a correct result. it is a typo error. Please resend the question and complete urinalysis report.

Red cells in urine, if significant (more than 4-5 per hpf), can indicate a kidney affection in fever, vomiting and dehydration.

Dr. Prasad Akole
You can ask a direct question to me at this site at
Answered: Sun, 28 Apr 2013
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