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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Puss And Epithelial Cells In Urine Of A Child?

my 5 years daughter is suffering from severe pain while passing urine , and is unable to control it. Her basic urine report show the appearance as cloudy, presence of protein, and it is reported that the sample is loaded/hpf with puss cells ,with 2-3 /hpf of epithelial cells.can you please explain what does it mean.
Thu, 21 May 2020
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Pediatrician,  's  Response
Hello,

That sounds like a urinary tract or bladder infection. This is not unusual in children, especially girls. This is because the anus is relatively close to the urethra (peeing tube). A minor infection like this often causes burning while peeing, a feeling of having to go all the time (frequency), and a inability to control peeing (urgency). The most important parts of the basic urinalysis (urine test) is a measure called "leukocytes" which are white blood cells and Nitrites, which is a substance released by bacteria.

When these 2 are positive, there is a good chance of an infection. Lots of pus cells seen is also a sign of infection. Protein is released by your kidneys, sometimes normally and sometimes it's the product of bacteria. Epithelial cells are another name for skin cells, and these just come from our skin into the sample. The urine sample should be sent to the lab for a 'culture' which means to see if it grows a germ.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Lisa Baker, Pediatrician
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What Causes Puss And Epithelial Cells In Urine Of A Child?

Hello, That sounds like a urinary tract or bladder infection. This is not unusual in children, especially girls. This is because the anus is relatively close to the urethra (peeing tube). A minor infection like this often causes burning while peeing, a feeling of having to go all the time (frequency), and a inability to control peeing (urgency). The most important parts of the basic urinalysis (urine test) is a measure called leukocytes which are white blood cells and Nitrites, which is a substance released by bacteria. When these 2 are positive, there is a good chance of an infection. Lots of pus cells seen is also a sign of infection. Protein is released by your kidneys, sometimes normally and sometimes it s the product of bacteria. Epithelial cells are another name for skin cells, and these just come from our skin into the sample. The urine sample should be sent to the lab for a culture which means to see if it grows a germ. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Lisa Baker, Pediatrician