What Does My Child's Urine Analysis Report Suggest?

Posted on Thu, 11 Sep 2014

Question: My kid is 2 ys,3months
Complete urine examination
Volume:20ml
Colour:reddish
Appearence:turbid
Reaction:acidic
Sp.gravity:1.025
Protien:trace
Sugar:nil
Blood:trace
Ketones bodies:negative
Bile salts: negative
Bile pigments:negative
Pus cell:6-8/hpf
Eputhelual cell:1-2/hpf
R.B.C:2-4/hpf
Casts:nil
Crystal: nil
Others: nil

From last day the urine colour was reddish from mirning to evening then the colour was changed to light yellow and in night changed to reddish and in late night changes to yellow again
I have checked today again for my kid in the morning and the results are
Sp.gravity:1.035
Pus cell 8- 10/hpf
Epithipel cell :2-4
R.b.c:3-5/hpf

Please suggest we are giving medication oflomac 100mg

Answered by Dr. Omprakash Ashokrao Deshmukh (20 minutes later)

Brief Answer:
Urinary tract infection.

Detailed Answer:
Thanks for the query.
From lab report of urine it looks the case of urinary tract infection.
Oflomac is the antibiotic which you started for the same problem.
I would prescribe syp. Cefixime along with oflox to my patient for 7 days to clear the infection till culture report comes. Discuss about this your treating doctor.
Also give a lot of water.
I would suggest you to do urine culture and sensitivity to choose proper antibiotics.
Reddish urine is due to rbc in urine.
Pus cells more than 5 hpf suggest UTI.
Hope I helped you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Omprakash Ashokrao Deshmukh (2 days later)

we have done retest and noticed below results noticed r b c is plenty

Answered by Dr. Omprakash Ashokrao Deshmukh (1 hour later)

Brief Answer:
need to change the antibiotics

Detailed Answer:
Thanks for the query.
Rbc in urine is called as haematuria, indicate infection if it is plenty and along with fever and pus cells.
I think you need to change the antibiotics as ofloxacin is not treating the infection.
See your treating doctor for change of antibiotics.
I would like to know about fever, and culture report of urine so that we can go for proper antibiotics.
In such situations we may have to give I.V. antibiotics if patient is not responding to oral treatment.
Hope i helped you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Omprakash Ashokrao Deshmukh (15 hours later)

Today what changed by kids health i don't know please refer to the urine culture report ,UCE which is taken in afternoon today.
please suggest we are giving medication of oflomac frote.
we were totally worried yesterday by seeing rediish color in his urine ,today is going with yellowish color
children specialist suggested to visit nephrologists

please suggest

attached is the test result.

Answered by Dr. Omprakash Ashokrao Deshmukh (46 minutes later)

Brief Answer:
need some details.

Detailed Answer:
Thanks for the follow up.
I would like to have details about the child.
Is there any fever?
Swelling around eyes or on legs?
Have you started cefixime?
Eating well or not?
Vomiting or not?

Culture report will take at least 2 days to come.
Till then if the child is stable you can start cefixime or i.v.(intravenous) ceftriaxone after discussing with you doctor.

Also ultrasonography of abdomen may be done if feels necessary by treating doctor.
Hope i helped you.

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Above answer was peer-reviewed by : Dr. Prasad