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What Do My Blood And Urine Test Reports Indicate?

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Posted on Mon, 12 Jan 2015
Question: Hi
Female of age 38 (no know major health issues)
Just got the yearly report in (to give an idea I was having yellow cloudy urine but no pain,also upset stomach & gas) so I was taking pepto prior to blood work.
Most of results came normal(Weight stable for last 3 years, normal cholesterol, glucose, RBC, Platelets ......)(I was having slight chest pain for 2 days but ekg/ecg normal as well, Dr said probably anxiety related(now i don't have pain anymore)
My concerns are these numbers

WBC 11.1
Neutrophiles 7.88
MPV 11.4
Urate 393(its was 440 last year but I tried to get it down with diet)

Rest numbers
RBC 4.79
MCV 89
MCH 29
MCHC 329
Platelets 253

Urine
MOD trace of blood and Leukocyte and protein(slight)
no nitrate
Appreciate if someone shed light what that could be if not UTI ( i am scared to read about leukemia over the internet due to high WBC etc)
Dr prescribed Macrobid 100mg(5 days)
So these 3 (WBC,MPV, NEUTROPHILES) could be related to UTI? my concern, every time one search for anything "cancer" comes up in google
doctor
Answered by Dr. Indu Kumar (38 minutes later)
Brief Answer:
Your findings may suggests urinary tract infection(UTI).

Detailed Answer:
Hello XXXX

Don't worry about leukemia.Leukemia is associated with many other features.
Your findings may suggests urinary tract infection(UTI).
UTI is indicated by cloudy urine and moderate presence of leukocyte and blood in urine.
Mild protein is normally found in urine.

Mildly increased leukocyte count(WBC) and neutrophil is also related to UTI.
You need clinical correlation and investigations like random blood sugar,renal function test,Urine culture and sensitivity and Ultrasound of abdomen.

Proper antibiotics should be prescribed after culture and sensitivity report.
You have been prescribed right medicines empirically.
You should drink plenty of fluids.I also suggest to take alkalizing syrup to my patients.

Get well soon.
Hope I have answered your query
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (10 minutes later)
Thank you for prompt response, so should i ask Dr for further testing like ultra sound? I had my blood work done on Dec 08,2014 which showed normal sugar levels and normal renal/kidney function as well.
I will ask for more tests if needed, but is it normal to have Mod blood and leukocytes always present in urine?(since i had it in last year also while everything else was normal and Dr said its OK no antibiotics suggested)
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
Ultrasound of abdomen should be done.

Detailed Answer:
Hello XXXX

Moderate blood and leukocytes is not a normal finding.It need investigation.
Ultrasound of abdomen should be done,it can exclude many conditions.

Get well soon.
Hope I have answered your query
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (39 hours later)
Complete round of antibiotic yesterday and went to Dr office, Infection is cleared but still had microscopic blood, i am going for abdomen and pelvic ultrasound, So does it point to bladder cancer???? i am feeling very worried now, i spoke to Dr since i was concern why they never asked me for ultrasound when i always had trace of blood in urine(i checked all yearly routines 2008-2014 and yes every time it had some trace)He said well your all tests always came normal and this could be due to high Uric acid(i might have crystals) but again is bladder cancer seems strong possibility now?
doctor
Answered by Dr. Indu Kumar (11 hours later)
Brief Answer:
It is too early to come to any conclusion.

Detailed Answer:
Hello XXXX

You shouldn't worry so much,it is too early to come to any conclusion.Firstly you need ultrasound of abdomen.It can exclude many possibilities.
Microscopic hematuria may persist for some time after UTI.

Cystoscopy can also be done.It allows direct visualization of urinary bladder.
You may need further tests like CT Scan depending upon findings.

Get well soon.
Hope I have answered your query
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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What Do My Blood And Urine Test Reports Indicate?

Brief Answer: Your findings may suggests urinary tract infection(UTI). Detailed Answer: Hello XXXX Don't worry about leukemia.Leukemia is associated with many other features. Your findings may suggests urinary tract infection(UTI). UTI is indicated by cloudy urine and moderate presence of leukocyte and blood in urine. Mild protein is normally found in urine. Mildly increased leukocyte count(WBC) and neutrophil is also related to UTI. You need clinical correlation and investigations like random blood sugar,renal function test,Urine culture and sensitivity and Ultrasound of abdomen. Proper antibiotics should be prescribed after culture and sensitivity report. You have been prescribed right medicines empirically. You should drink plenty of fluids.I also suggest to take alkalizing syrup to my patients. Get well soon. Hope I have answered your query Further queries are most welcome. Take Care Dr.Indu XXXXXXX