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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Would Water And Citrus Juice Intake Alter The RBC Count In Urine?

My urinalysis result yesterday has Blood/Hgb = 1+ Pus cells 0-2 Redbloodcells 7-10 I want to have a urinalysis again today i drink a lot of water and citrus juice, is this result can be change? What should I do ? Is RBC level is at worst condition?? I need to pas my medical exam but this test makes me failed. Please help.
Wed, 20 Feb 2019
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General & Family Physician 's  Response
Hello,
I read your query.

Normally , there are no or an occasional Red blood cell(0-2) in urine.However, in the report provided above, numerous RBC s are present(0-7).There are many causes for presence of RBC s in urine:

1. Glomerulonephritis is one of the common causes. Here you may get Red cell cast as well with Albumin (1-2+) .
2. Only red cells (without casts) may be seen in Kidney stones
3. Post catheterisation(can be ruled out from History)
4.Tumour in the urinary tract(USG of whole abdomen may help to locate the tumour if any)
5. Coagulation dirorder(any significant past history)

However False positive test for detection of blood in urine may also be seen in females during Menstruation(You havent mentioned your sex)

Nevertheless, the RBC levels are not alarmingly high and you have absolutely no reason to panic. Had i been your consulting physician i would have adviced you to get a repeat examination of urine done in case you are menstruating at present to rule out false positive result (once your menses are over)

If not, I would have adviced you to get a Ultrasonography of whole abdomen done to see if there are any changes in the urinary tract.

Do get in touch with your physician(a urologist preferably)
Do send me any additional reports if you get them done .

Important points like presence of fever, Burning micturition, urinary frequency and difficulty in passing urine will help your clinician to arrive at a diagonosis.

Regards,
Dr.Pallavi Jain
MBBS,MD Biochemistry
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Would Water And Citrus Juice Intake Alter The RBC Count In Urine?

Hello, I read your query. Normally , there are no or an occasional Red blood cell(0-2) in urine.However, in the report provided above, numerous RBC s are present(0-7).There are many causes for presence of RBC s in urine: 1. Glomerulonephritis is one of the common causes. Here you may get Red cell cast as well with Albumin (1-2+) . 2. Only red cells (without casts) may be seen in Kidney stones 3. Post catheterisation(can be ruled out from History) 4.Tumour in the urinary tract(USG of whole abdomen may help to locate the tumour if any) 5. Coagulation dirorder(any significant past history) However False positive test for detection of blood in urine may also be seen in females during Menstruation(You havent mentioned your sex) Nevertheless, the RBC levels are not alarmingly high and you have absolutely no reason to panic. Had i been your consulting physician i would have adviced you to get a repeat examination of urine done in case you are menstruating at present to rule out false positive result (once your menses are over) If not, I would have adviced you to get a Ultrasonography of whole abdomen done to see if there are any changes in the urinary tract. Do get in touch with your physician(a urologist preferably) Do send me any additional reports if you get them done . Important points like presence of fever, Burning micturition, urinary frequency and difficulty in passing urine will help your clinician to arrive at a diagonosis. Regards, Dr.Pallavi Jain MBBS,MD Biochemistry