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I Just Had A Urinalysis Auto Point Of Care-details Blood

Posted on Sun, 7 Apr 2019

Question: I just had a Urinalysis Auto Point of Care-details
Blood Urine POCT value of 25 with no standard range stated.
I'm guessing this is a dipstick but was not sure because of the 25?
No mention of rbc's or anything other than what's above here.

Thanks so much! XXXXXXX M

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
It suggests (Roughly)presence of 25 RBC in urine needs further tests

Detailed Answer:
Hello
Thanks for query .

You have done dipstick test of urine and has been reported to be blood in urine with value of 25 .

It is an rough estimation of presence of 25 RBC in urine however the precise number of RBC can be confirmed only on microscopic examination of urine.

I shall be happy if you can provide few more details about the problem you are facing so as to make precise suggestion as regards further tests to be carried out .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (9 hours later)

Should I request fluorescent or regular cystoscopy? Repeat ct done XXXXXXX 2018?
Thanks so much XXXXXXX

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Please upload CT findings and detail clinical history

Detailed Answer:
Hello
Thanks for follow up .

I shall be happy if you can post details about your urinary problem that you are facing and CT findings to make precise comments .

Thanks and Regards.
Dr Patil.

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

Follow up: Dr. Dr. P. T. Patil (4 hours later)

HelloDr XXXXXXX
Mt ct w/wo contrast was done jan/2018 and was normal. I just had a regular cystoscopy that showed trabiculated bladder but no cancer. All my dipsticks show trace blood except for the one yesterday that showed 25. They mistakenly forgot to send out for micro and it's too late to do a micro. My cytology was normal 1 week ago. I still wonder about the blood that is now always present. My urologist says not to worry about and that I should get a laser surgery for my prostrate which he believes is the source of my bleeding. Would my normal ct 14 months ago preclude a chance of kidney cancer? Do you know how fast kidney cancers grow? I was told .7 cm/yr but read .28cm/yr. Would there be any benefit from any other test(US) or mri? Thanks for everything you've done up to this point. You've been extremely helpful. XXXXXXX

Follow up: Dr. Dr. P. T. Patil (1 hour later)

My creatinine was 76 and efgr was 60 after being normal on 6 other tests in the past 18 months. Any reason to follow-up with my urologist or pc doctor?

Thanks again!
XXXXXXX

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
The consistent presence of blood in urine demands investigations .

Detailed Answer:
Thanks for uploading the details .
Though your CT scan done in XXXXXXX 2018 is normal persistent presence of blood in urine demands further test ,

Since you are known to have BPH the blood in urine is most likely to be from bleeding from rupture of small veins on the superficial surface of enlarged prostate .However it is advisable to get fresh CT (plain and with contrast) to rule out possibility of any other cause for blood in urine (Hematuria) like tumor in Kidney

Consult your Urologist and repeat endoscopic examination of bladder (Cystoscopy) to assess the present situation of size ,configuration and anatomy of prostate .This will also help to rule out any pathology in bladder .

Thanks and Regards.
Dr Patil.

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

Follow up: Dr. Dr. P. T. Patil (14 hours later)

Thanks very much. Should I be concerned about my psa going from .82 to 1.44 in 1.67 years? And are you familiar with the DMX test for prostrate?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Nothing to be worried about slightly raised PSA

Detailed Answer:
Hello
Thanks for follow up ..
The raise in PSA from 0.82 to 1.44 is not to be worried t all .It is well within normal range of 4 and should not be worried about cancer of prostate .

I am not familiar with DMX test .It is not done in our country (India)

Thanks and Regards,

Dr Patil.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. P. T. Patil (4 hours later)

One last issue-my creatinine and efgr were 76 and 58 which are lower than I've been on 4 tests in past year. Anything to be concerned about? Thanks again!!!

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Nothing to be worried about it

Detailed Answer:
Hello,
Thanks for following up. These values are near normal values. Not to be worried.

Thanks and Regards,
Dr. Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee