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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High WBC Count With Trace Protein. Why Is There Pain? What Can I Do? Seroos Infection?

I have large wbc and large blood with trace protien I UA took batruim DS x 7 days bid still have the same UA result 4 days after finishing antibiotics . Tired. Frequency urgency and mild flank pain no fever symptoms tod several weeks. Am I in danger of seroos infection if I don t get further treatment as I have no insurance or money to pay for medical tx.
Thu, 24 Oct 2013
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Ayurveda Specialist 's  Response
**
1. high WBC [white blood cells] count in URINE as suggested by UA [urine analysis] is usually due to a bacteria infection which can be urinary tract infection [UTI], bladder infection or kidney infection.
2. trace proteinuria may be a normal finding or due to UTI.
3. large blood [injury to glomerulus] with trace protein [glomerular dysfunction] suggests acute glomerulonephritis. [If there is infection of the kidneys or the bladder or if there is inflammation due to the presence of stones, immune disorders, allergies or growths anywhere along the genitourinary system, blood can get into the urine.]
4. Ask your Doctor to Assess for Renal Function;
. Glomerular function [creatinine clearance]
. Tubular function [specific gravity].. to rule out complications from acute glomerulonephritis like: ARF [acute renal failure], infections of urinary and respiratory tract

PS
i. White cells are most likely to be seen where infection is present as these are the cells,which combat microorganisms.
ii. your doctor will send a sample of urine for CST [culture and sensitivity test] to identify any microorganisms and to decide which antibiotic would be the most appropriate one to use in order to eradicate the infection.
iii. bactrim DS [sulfamethoxazole+ trimethoprim] is generally given in cases of uncomplicated urine infections, and if UA is same the further workup and possible referral to a urologist for additional testing to identify structural or functional abnormalities is needed.
iv. drink plenty of fluids and water,do NOT drink fluids that irritate the bladder, such as alcohol and caffeine.
v. flank pain is more common with upper UTIs whereas Lower UTIs typically resolve after a course of antibiotic therapy, so either there is improper antibiotic selection; or presence of unsuspected upper UTI, which requires a longer course of antibiotic therapy; or a complication.



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High WBC Count With Trace Protein. Why Is There Pain? What Can I Do? Seroos Infection?

** 1. high WBC [white blood cells] count in URINE as suggested by UA [urine analysis] is usually due to a bacteria infection which can be urinary tract infection [UTI], bladder infection or kidney infection. 2. trace proteinuria may be a normal finding or due to UTI. 3. large blood [injury to glomerulus] with trace protein [glomerular dysfunction] suggests acute glomerulonephritis. [If there is infection of the kidneys or the bladder or if there is inflammation due to the presence of stones, immune disorders, allergies or growths anywhere along the genitourinary system, blood can get into the urine.] 4. Ask your Doctor to Assess for Renal Function; . Glomerular function [creatinine clearance] . Tubular function [specific gravity].. to rule out complications from acute glomerulonephritis like: ARF [acute renal failure], infections of urinary and respiratory tract PS i. White cells are most likely to be seen where infection is present as these are the cells,which combat microorganisms. ii. your doctor will send a sample of urine for CST [culture and sensitivity test] to identify any microorganisms and to decide which antibiotic would be the most appropriate one to use in order to eradicate the infection. iii. bactrim DS [sulfamethoxazole+ trimethoprim] is generally given in cases of uncomplicated urine infections, and if UA is same the further workup and possible referral to a urologist for additional testing to identify structural or functional abnormalities is needed. iv. drink plenty of fluids and water,do NOT drink fluids that irritate the bladder, such as alcohol and caffeine. v. flank pain is more common with upper UTIs whereas Lower UTIs typically resolve after a course of antibiotic therapy, so either there is improper antibiotic selection; or presence of unsuspected upper UTI, which requires a longer course of antibiotic therapy; or a complication.