Does The Urine Test Result Indicate Kidney Problem?

Posted on Tue, 31 Mar 2015

Question: Hello Sir/Madam,

My sister-in-law had gone through an Urine test. Can you please let me know whether it is a symptom of any kidney related disease? What is the severity and is it curable? Whom should I consult in person?
Here are the details:
1. Pus Cell average 200 per HPF
2. Epithelial cell present +++
3. RBC: 8 -10 per HPF

Thanks,
XXXX

Answered by Dr. Rakesh Madhyastha (45 minutes later)

Brief Answer:
Urinary Tract infection

Detailed Answer:
Hello

Thanks for the query

Your sister in law has urinary tract infection. It is curable with antibiotics.
Here is what you should do

1. Send urine for culture before starting antibiotics
2. I empirically start Ciprofloxacin twice daily until the culture report arrives ( usually takes 3 days) and then switch over to a culture sensitive antibiotic
3. I would also like her to undergo ultrasound of the abdomen to know if the kidneys are also involved. Patients with kindey infection usually have severe flank pain associated with fever and chills
4. To know the severity please get a serum creatinine test and complete blood count tested. Increased WBC count and raised creatinine are markers for severity.
5. You must consult a nephrologist
6. Watch out for reduced urine output and swelling of the feet

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (24 hours later)

Hello Doctor,

Thanks for your reply.
As per your suggestion, e have asked her to go through the urine routine and received the below reports:

     Urine Pus cell: 52 -55
     RBC occasional
     Epithelial cell:
          Squamous few
          Small round: Nill
     Animal Parasites: Nill
     Micro organism: ++
     Yeast cell: Nill
     Fpematoza: Yes
     Phosphapes: +
     Chemical Examination Reaction: Alkaline
     Sugar: Absent
     Albumine: Trace
     Excess phosphates: Present +
     Serum creatinine: 0.7

     USG: mild cyscitis
     Urinary bladder: wall is slightly thicken (0.4 cm) and irregular. No calculi/mass lesion seen.
     WBC: 6000

We are waiting for the culture report, as you mentioned, it is going to take fw more days.

Can you please have a look at the report and let me know what is the status and how much severe the infection is. Has it affected kidney by any chance?
What could have been the reason behind this?

Also, I forgot to mention one thing last time. She has a got her left leg swollen bit just above the left ankle and it's pretty small in size.

Regards,
XXXX

Answered by Dr. Rakesh Madhyastha (11 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back with the reports

It looks like she is suffering from infection of the urinary bladder. Kidneys are safe at the moment. Continue to take the antibiotics the doctor has prescribed until the culture report arrives.
Cystitis is easily treatable with antibiotics.
Swelling of the left leg is not related to the kidneys. When kidneys get affected both the lower limb swell up

I hope I was of help

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (41 hours later)

Hello Doctor,

We had consulted with a local Doctor and was given few medicines:
Levomac 500- 10days, night (1 time after food)
Voxate - 5 days (3 times after food)

We haven't received the culture report yet.

This is the 3rd time she faced the infection.
Why is it reoccurring and is there any permanent solution to this disease?
To avoid it or cure it parmanently what should we do further?

Regards,
XXXX

Answered by Dr. Rakesh Madhyastha (5 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back

Recurrent urinary tract infection can be because of several reasons. Here is what you should do

1. She should be on oral prophylactic antibiotic for 3 months, I usually give Nitrofurantoin
2. Since she is not a diabetic, I recommend her to get a micuturating urethrogram to rule out anatomical abnormalitities in the urinary tract
3. Is she is sexaully active her partner should be tested for urine infection and treated. She must void urine after intercourse
4. She should drink plenty of water
5. After passing stools, she should make sure the direction of wiping should be away from vagina and not towards it.

I hope I was of help

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar