question-icon

What Does My Urine Analysis Test Report Indicate?

default
Posted on Mon, 23 Feb 2015
Question: Severe abdominal pain; urinalysis reveals presence of pus cells 2-3 and numerous epithelial cells with no parasites. Culture and sensitivity showed mild growth of staph aureus in pathogenic form. CBC shows WBC 43%, WBC 4.6
Have been on Cipro Abt for 4 days , but pain, weakness, and night fever continues. What can i do, this person is not in the USA so, ER is out of the question. Please advise if possible.Thanks
doctor
Answered by Dr. M Y Shareef (28 minutes later)
Brief Answer:
Might need to be clinically assessed with related investigation if no relie

Detailed Answer:
Hi ! Good evening. I am Dr Shareef answering your query.

Even though the urine culture sensitivity shows a mild growth of Staph aureus and he continues to have night fever, the CBC interestingly is within normal limits without any leukocytosis. If I were the doctor, I would advise my patient to get the urine culture sensitivity and CBC redone from a different laboratory and change the antibiotic according to the sensitivity report.

However, UTI might not be the only reason for the severe abdominal pain. There could be some intra abdominal problem unrelated to the UTI which was missed initially and which might need a personal physical examination of the abdomen. In case the patient was not relieved of the pain which persisted, I would after an initial clinical assessment of the abdomen would in addition get an ultrasound of the abdomen done to know the status of intra abdominal organs. Further management would depend on the result of clinical assessment and related investigations if different from a UTI.

Therefore, in case of persistent increasing pain in abdomen, I am afraid your patient would have to consult a doctor ( a general surgeon would be preferred) irrespective of where he geographically is at present to prevent any complication of a missed diagnosis.

I hope this information would help you in discussing with your family physician in planning of the treatment of your patient.Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish your patient an early recovery. Dr Shareef.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. M Y Shareef

General Surgeon

Practicing since :1979

Answered : 2457 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does My Urine Analysis Test Report Indicate?

Brief Answer: Might need to be clinically assessed with related investigation if no relie Detailed Answer: Hi ! Good evening. I am Dr Shareef answering your query. Even though the urine culture sensitivity shows a mild growth of Staph aureus and he continues to have night fever, the CBC interestingly is within normal limits without any leukocytosis. If I were the doctor, I would advise my patient to get the urine culture sensitivity and CBC redone from a different laboratory and change the antibiotic according to the sensitivity report. However, UTI might not be the only reason for the severe abdominal pain. There could be some intra abdominal problem unrelated to the UTI which was missed initially and which might need a personal physical examination of the abdomen. In case the patient was not relieved of the pain which persisted, I would after an initial clinical assessment of the abdomen would in addition get an ultrasound of the abdomen done to know the status of intra abdominal organs. Further management would depend on the result of clinical assessment and related investigations if different from a UTI. Therefore, in case of persistent increasing pain in abdomen, I am afraid your patient would have to consult a doctor ( a general surgeon would be preferred) irrespective of where he geographically is at present to prevent any complication of a missed diagnosis. I hope this information would help you in discussing with your family physician in planning of the treatment of your patient.Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish your patient an early recovery. Dr Shareef.