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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Assuming Urinary Tract Infection. What Interventions Are Appropriate?

Hi, I am in my 39-40 week of pregnancy.
This is my 3rd pregnancy, 1st born 1998, 2nd 2001.
I am normally reasonably healthy, do not readily succumb to illness of infection.
I have had a couple of vaginal candida infections in the past but in other respects my reproductive system is stable and normal, I have normal regular menstruation cycles, other than at present of course.
I live in a tropical region (Indonesia)
For possibly 3 weeks I have been experiencing occasional fatigue, light headedness sufficient that I must sit or lie own for approximately 20 minutes then I am OK.
I have occasional 'shortness' of breath causing minor discomfort/uncomfortableness (not meaning pain when breathing)
I have been taking Vitamin B6 supplements and a 'pregnancy' targeted multivitamin.

Today I provided a blood and urine specimen for lab work.
Urine was passed at ~15:15, blood was drawn shortly after.
I hade a very light breakfast carbohydrate with strawberry jam at around 07:00-08:00 (that is not my normal diet, quite unusual for me) and some tea. (I did eat at around 16:00 immediately after the visit to the lab).

I have only detailed those results that are outside the 'normal' ranges per this lab.

The labs 'normal' range is indicated in (parenthesis)
HCB (hemoglobin) is 11 (11.7 - 15.5) [so maybe that explains the light-headeness]
HCT (hematocrit) is 33.2 (35 - 47) [the Multivitamin I am taking (1/at night before sleep) contains 30 mg Iron Polymaltose complex (IPC)]

(I have included results of these in the 'normal' range as well for context)
Eosinophils % 1.3* (2 - 4) (There is some additional stress - packing to temporarily relocate overseas)
Basophils % 0.2 (0-1)
Neutrophils % 66.2 (50-70)
Lyphocytes % 23.7* (25 - 40)
Moncytes % 8.7* (2- 8)
Erythrocyte sedimentation rate (ESR) 80 (0-20) [mm/hour]

Chemistry;
Glucose 75 (
Urine:
Glucose Negative-normal (Negative)
Other results are also indicated in normal range or defined as Negative (Negative), Normal (Normal)

I am only listing abnormals below
Urine - Pale Yellow in colour
Urine - Slightly cloudy

Squamous epithelial cells 10-15/LPK
Bacteria - Positive (Negative)

I am assuming I have a urinary tract infection.

Perhaps one of the panel might have some comments on the these results that may assist me?
The OB I have seen a couple of times is away until Monday, I am hoping to see him on Monday night, that is around 4 days from now.

Then I need to depart overseas on Friday.
I would really appreciate your input on the above.
I am a little concerned the infection may have endured for a while, though I was not really aware of it.
What sort of interventions are appropriate (concerning the above) at my 39-40 week stage of pregnancy?
Tue, 21 May 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

You are having urinary tract infection. You should get your urine culture done to know the organism and the sensitivity report so that the appropriate antibiotic can be started.

I hope I have answered your query to your satisfaction.

Wishing you an early recovery.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Pregnant, Assuming Urinary Tract Infection. What Interventions Are Appropriate?

Hi, Thank you for your query. You are having urinary tract infection. You should get your urine culture done to know the organism and the sensitivity report so that the appropriate antibiotic can be started. I hope I have answered your query to your satisfaction. Wishing you an early recovery. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl