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Need Help Interpreting Urine Test Results. A Week Ago I

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Posted on Wed, 14 Oct 2020
Question: Need help interpreting urine test results. A week ago I had high leukosytes (53) on my routine urine test results so my doctor prescribed an antibotic which I took for a week. In retesting yesterday I had worse results - as can be seen in the attached printout- with more bad indications. The form is in Indonesian but I think they are standard categories an international doctor will understand. Please explain it to me and advise me next steps. Thank you
doctor
Answered by Dr. Dr. R.A. SINGH (2 hours later)
Brief Answer:
Some more investigations needed.

Detailed Answer:
Hi,
Thanks for writing your query.
After reading your post and going through the attached report, I would like to know some more
information like :-
1. Any history of fever
2. Any history of pain in the back
3. Any history of stones in the urinary tract

Since your report shows significant number of leukocytes and blood in urine, I would like to advise following investigations:-
1. Urine examination (Culture/Sensitivity test)
2. Ultrasound of KUB region

I hope this is helpful to you. If you have any further query, I will be happy to help.
Regards. Thanks
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. R.A. SINGH (3 hours later)
Dear Dr XXXXXXX

Thank you for your very helpful and informative reply. In reply to your queries:
1. No fever
2. Daily pain in the back, usually high up, sometimes lower right, but higher up circles the rib cage and has been diagnosed as intercostal neuralgia caused by psoratic arthritis
3.6-7 years ago I was diagnosed with kidney stones, cured by stone-breaking pulses.

I would be most grateful for any comments on these responses.

Regards,

David
doctor
Answered by Dr. Dr. R.A. SINGH (3 hours later)
Brief Answer:
Seems like recurrence of kidney stones

Detailed Answer:
Hi XXXXXXX
Thanks for your response.
After reading your reply, it seems that your symptoms are due to recurrence of stones of rhe urinary tract.
A urinary tract stone can cause back pain along with presence of blood and leukocytes in the urine.
Inwould suggest that you should drink lots of water.
Investigations mentioned earlier will help in planning your further medical management.
I hope this answers your query.
Regards. Thanks.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. R.A. SINGH

Emergency Medicine Specialist

Practicing since :2000

Answered : 2237 Questions

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Need Help Interpreting Urine Test Results. A Week Ago I

Brief Answer: Some more investigations needed. Detailed Answer: Hi, Thanks for writing your query. After reading your post and going through the attached report, I would like to know some more information like :- 1. Any history of fever 2. Any history of pain in the back 3. Any history of stones in the urinary tract Since your report shows significant number of leukocytes and blood in urine, I would like to advise following investigations:- 1. Urine examination (Culture/Sensitivity test) 2. Ultrasound of KUB region I hope this is helpful to you. If you have any further query, I will be happy to help. Regards. Thanks