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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Findings Of My Urine Test And Required Treatment?

WBC'S, UA/HPF     0 - 5 /HPF     11-25
RBC, URINE HPF     0 - 3 /HPF     4-10
BACTERIA, URINE HPF     None /HPF     None
SQUAMOUS EPITHELIAL CELLS, URINE SED, AUTOMATED COUNT, QUAL     None /HPF     None
MUCOUS, UR SED, QL, AUTOMATED COUNT     None /HPF     Present
HYALINE CASTS, URINE SEDIMENT, AUTOMATED COUNT, QUAL     0 - 4 /LPF     0-4
The above are the results to my urine test.
I have urges to urinate for the past 15 days.
I am 62 years old female with no other medical issues
Culture did not found anything wrong
have been taking Cipro for 10 days and it does not get any better.
What do I do?
Tue, 3 Dec 2013
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Urologist,  's  Response
The WBCs are on the higher side, suggestive of a local inflammation somewhere in the urinary tract. If you have no fever, you need not be on antibiotics now that you have taken Ciprofloxacin for over 10 days without appreciable benefit. you can get a screening ultrasound of abdomen to make sure no major pathology is missed, but if that is normal, you can try use of anti-cholinergic agents like Solifenacin or Darifenacin if you have no issues like narrow angle glaucoma and otherwise void urine well without any residue in the bladder. These help by reducing the frequency of urination and also significantly reduce the sensation of urgency of urine and leakage of urine as well.
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What Are The Findings Of My Urine Test And Required Treatment?

The WBCs are on the higher side, suggestive of a local inflammation somewhere in the urinary tract. If you have no fever, you need not be on antibiotics now that you have taken Ciprofloxacin for over 10 days without appreciable benefit. you can get a screening ultrasound of abdomen to make sure no major pathology is missed, but if that is normal, you can try use of anti-cholinergic agents like Solifenacin or Darifenacin if you have no issues like narrow angle glaucoma and otherwise void urine well without any residue in the bladder. These help by reducing the frequency of urination and also significantly reduce the sensation of urgency of urine and leakage of urine as well.