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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Casts And Cells In Urine Suggest?

I have blood in my urine it is microscopic I have had a kidney biopsy and it has turned out to be a thinning of the walls of my kidneys and the dr. told me not to worry about it that was 7 years ago. I just went for my annual physical and the dr. took by urine for a test because he has found casts and cells in my urine should I be worried.
Wed, 2 Nov 2016
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Urologist,  's  Response
Hello and welcome to HCM.
As an Urologist,i can understand your anxiety.You should write your age.
Urine with blood and casts,is suggestive of a kidney infection.
This is called glomerulonephritis and confirmed on the prior biopsy.
Now,your symptoms are suggestive of chronic glomerulonephritis.
You should see the doctor with the following tests :
1. urine culture,ACR and 24hours urine protein.
2. blood routine, creatinine, RBS,LFT with A/G ratio,and platelets.
3. ultrasound scan-KUB,with residual urine.A CT-IVU may be needed.
You may send reports here,as a direct question to me,for an expert opinion.
Dr.Matthew J. Mangat.
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What Do Casts And Cells In Urine Suggest?

Hello and welcome to HCM. As an Urologist,i can understand your anxiety.You should write your age. Urine with blood and casts,is suggestive of a kidney infection. This is called glomerulonephritis and confirmed on the prior biopsy. Now,your symptoms are suggestive of chronic glomerulonephritis. You should see the doctor with the following tests : 1. urine culture,ACR and 24hours urine protein. 2. blood routine, creatinine, RBS,LFT with A/G ratio,and platelets. 3. ultrasound scan-KUB,with residual urine.A CT-IVU may be needed. You may send reports here,as a direct question to me,for an expert opinion. Dr.Matthew J. Mangat.