For Mother Aged 50 Has Chronic Knee Pain And Found Some Abnormal Values In Urine Routine And Lft Test. Please Explain.

Posted on Tue, 31 Jul 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 31 Jul 2018 Answered on

Tue, 20 Dec 2022 Last reviewed on

Question : Dear Doctor, my mother aged 50 has chronic knee pain for which she used to meet a orthopaedician and get her medicines once in every few months. This time her doctor has asked her to do some blood and urine tests before prescribing the medicines. In the results, we found some abnormal values in urine routine and lft test. Please review the results. I have attached the same. She also complains of sudden urine sensation in evening and night.

Answered by Dr. T Chandrakant (4 hours later)

Brief Answer:
Please give more details.

Detailed Answer:
Hi.
Noted the history about your Mother and understood the concerns.
Also noted about sudden urinary sensation in evening and night.
Please give the list of medications that she was/is prescribed.
Also mention about any other symptoms.
Was MRI of affected parts done?

All the details will help me more to assist you better.
Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Chandrakant (1 hour later)

Dear Doctor, She has not taken any MRI or Xray. Right now, the concern is not about her knee pain but some abnormalities marked in the reports that I attached, specially urine routine and liver function test. Please let me know what does it mean to have blood and bacteria marked in her urine analysis. And is her liver normal based on the report? In the next follow up question, I will tell you about the medicines she used previously as she is yet to call me back. Thank you.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As detailed.

Detailed Answer:
Urine is showing pus cells and epitherlial cells as well as Red blood cells; pus cells are within normal limits.. These in turn can give proteins in trace quantity and also blood as positive. Protein can show trace even on consumption of more protein in any form like medications or in diet.
This may be indicative of mild urinary infection.
Since Urea and creatinine that is kidney functions are normal hence not to worry.
In such cases it is better to get urine culture and sensitivity tests if already not on antibiotic. And also Ultrasonography of abdomen particularly for urinary system.

Liver functions in the form of bilirubin, enzymes, alkaline phosphatase and GGT are normal hence; The total proteins are marginally raised and since albumin is normal raised globulin might have reflected in raised total proteins. Albumin + Globullin = total proteins.

When such reports are present with marginal raise, it is better to repeat these tests to make sure and after stopping excessive proteins in any form.

I hope this answers you query.
Regards.

Above answer was peer-reviewed by : Dr. Kampana