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What Does My Blood Test Report Indicate?
Question: My wife is a 5 weeks pregnant. We visited a doctor few days back, she suggested for few build test. I have attached the blood report in the query.
- Does the report looks good?
- In Report RBC Count and ESR count are in into the reference range, can this be concern. What medicines/precaution should she take for this?
- When should she go for an ultrasound?
- Does the report looks good?
- In Report RBC Count and ESR count are in into the reference range, can this be concern. What medicines/precaution should she take for this?
- When should she go for an ultrasound?
Brief Answer:
antenatal advise, primi
Detailed Answer:
Hello,
Thanks for the query to Hcm,
Most of the reports are normal, just that the ESR is high which is possible due to often helminthiasis or allergies. The presence of pus cells and epithelial cells in urine routine microscopy indicates a urinary tract infection, which shall explain high ESR as well. Hb of 14.1 gm% is a good value and shows no anemia.
Rest all the tests are normal.
At 5 weeks of pregnancy, it is suggested that she should be on folic acid tab 5mg daily and if nausea and vomiting persists then doxinate may be taken thrice a day if required. At present for UTI, Tab nitrofurantoin 100mg thrice a day for 7 days may be started to treat urinary infection as sometimes persistent UTI may become a cause of unwanted threatened abortion.
You may discuss the nitrofurantoin option with your obstetrician, and should be placed on therapeutic dose for 7 days and then one tab daily as prophylaxis dose for remaining pregnancy after confirmation of viability of foetus by ultrasound.
The first ultrasound should be done at 6-7 weeks of gestation to identify the heart beat of the foetus and also the placentation adequacy. So its due in next 10 days.
I hope i have answered your query in detail,
Wishing her safe pregnancy,
Regards
antenatal advise, primi
Detailed Answer:
Hello,
Thanks for the query to Hcm,
Most of the reports are normal, just that the ESR is high which is possible due to often helminthiasis or allergies. The presence of pus cells and epithelial cells in urine routine microscopy indicates a urinary tract infection, which shall explain high ESR as well. Hb of 14.1 gm% is a good value and shows no anemia.
Rest all the tests are normal.
At 5 weeks of pregnancy, it is suggested that she should be on folic acid tab 5mg daily and if nausea and vomiting persists then doxinate may be taken thrice a day if required. At present for UTI, Tab nitrofurantoin 100mg thrice a day for 7 days may be started to treat urinary infection as sometimes persistent UTI may become a cause of unwanted threatened abortion.
You may discuss the nitrofurantoin option with your obstetrician, and should be placed on therapeutic dose for 7 days and then one tab daily as prophylaxis dose for remaining pregnancy after confirmation of viability of foetus by ultrasound.
The first ultrasound should be done at 6-7 weeks of gestation to identify the heart beat of the foetus and also the placentation adequacy. So its due in next 10 days.
I hope i have answered your query in detail,
Wishing her safe pregnancy,
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I want to take a second opinion on the 'urinary tract infection' from Dr. XXXXXXX XXXXXXX or some XXXXXXX Gynecologist.
We googled and found this is generally usual an increase in epithelial cell count during pregnancy, but it was also advised to get it tested again in lab.
My wife says she didnt took bath before going for test that could be the reason for contamination reported.
We are more concern on taking antibiotic for this infection.
We googled and found this is generally usual an increase in epithelial cell count during pregnancy, but it was also advised to get it tested again in lab.
My wife says she didnt took bath before going for test that could be the reason for contamination reported.
We are more concern on taking antibiotic for this infection.
Brief Answer:
Answered
Detailed Answer:
Hello,
Thanks for the follow up,
The urinary tract infection is evident with the presence of pus cells which are not a part of urine sample even in non pregnant , and non UTI state. If she is asymptomatic at present then you may chose to wait for the ultrasound confirmation of the viability of foetus first.
nitrofurantoin is absolutely safe during early pregnancy and is the prescribed medication for UTI in pregnancy as per the evidence. But if you are not keen its fine, another simpler way is to increase her water intake so that she is able to flush out the infection sooner.
Never the less the decision for the same can wait till metal viability confirmation after USG. Till then you may continue folsafe daily.
Regards
Answered
Detailed Answer:
Hello,
Thanks for the follow up,
The urinary tract infection is evident with the presence of pus cells which are not a part of urine sample even in non pregnant , and non UTI state. If she is asymptomatic at present then you may chose to wait for the ultrasound confirmation of the viability of foetus first.
nitrofurantoin is absolutely safe during early pregnancy and is the prescribed medication for UTI in pregnancy as per the evidence. But if you are not keen its fine, another simpler way is to increase her water intake so that she is able to flush out the infection sooner.
Never the less the decision for the same can wait till metal viability confirmation after USG. Till then you may continue folsafe daily.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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