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What Do My Lab Test Results Indicate?
Posted on
Wed, 27 Apr 2016
Wed, 27 Apr 2016
Answered on
Thu, 16 Jun 2016
Last reviewed on
Question : Hello, I have a burning sensation and pain in lower abdomen with urination for 2 months. I was ignoring it for a while. Last week I went to my doctor and the bacterial culture was negative. I have a PDF file of my blood work and urinalysis. I wonder if I have bladder or kidney cancer? I am a 34 year old female who was otherwise relatively healthy. Protein Serum 9.9
WBC 10.2 Higher end of normal
RBC 5.22 Higher end of normal
Platelets 350 higher end of normal
Neutrophils 5.1
Lymphocytes 3.7 High
BUN 19 Higher end of normal
Creatinine 0.61 Lower end of normal
BUN/Creatinine 31 High
Urinalysis: No bacterial culture, trace of protein and 10-25 WBC in urine (found under a microscope) . They should not be there.
What should I do? What would be the next step? Do I need to see a urologist for a cytoscopy and a biopsy to rule out cancer? Or do I need to see a kidney specialist? I looked at my blood work from November and likewise numbers were off:
Test Low Normal High Reference Range Units
Uric Acid, Serum 4.6 2.5-7.1 mg/dL
Ggt
Test Low Normal High Reference Range Units
Ggt 11 0-60 IU/L
Tsh
Test Low Normal High Reference Range Units
Tsh 3.030 0.450-4.500 uIU/mL
Cbc With Differential/Platelet
Test Low Normal High Reference Range Units
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL
Immature Granulocytes 0 %
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Eos (Absolute) 0.5 0.0-0.4 x10E3/uL
Monocytes(Absolute) 0.6 0.1-0.9 x10E3/uL
Lymphs (Absolute) 2.9 0.7-3.1 x10E3/uL
Neutrophils (Absolute) 3.2 1.4-7.0 x10E3/uL
Basos 1 %
Eos 7 %
Monocytes 8 %
Lymphs 40 %
Neutrophils 44 %
Platelets 307 150-379 x10E3/uL
Rdw 13.4 12.3-15.4 %
Mchc 33.4 31.5-35.7 g/dL
Mch 28.1 26.6-33.0 pg
Mcv 84 79-97 fL
Hematocrit 41.0 34.0-46.6 %
Hemoglobin 13.7 11.1-15.9 g/dL
Rbc 4.88 3.77-5.28 x10E6/uL
Wbc 7.3 3.4-10.8 x10E3/uL
Lipid Panel W/ Chol/Hdl Ratio
Test Low Normal High Reference Range Units
Cholesterol, Total 246 100-199 mg/dL
Triglycerides 92 0-149 mg/dL
Hdl Cholesterol 71 >39 mg/dL
Vldl Cholesterol Cal 18 5-40 mg/dL
Ldl Cholesterol Calc 157 0-99 mg/dL
T. Chol/Hdl Ratio 3.5 0.0-4.4 ratio units
Hepatic Function Panel (7)
Test Low Normal High Reference Range Units
Protein, Total, Serum 7.7 6.0-8.5 g/dL
Albumin, Serum 4.5 3.5-5.5 g/dL
Bilirubin, Total 0.4 0.0-1.2 mg/dL
Bilirubin, Direct 0.09 0.00-0.40 mg/dL
Alkaline Phosphatase, S 65 39-117 IU/L
Ast (Sgot) 16 0-40 IU/L
Alt (Sgpt) 15 0-32 IU/L
Basic Metabolic Panel (8)
Test Low Normal High Reference Range Units
Glucose, Serum 87 65-99 mg/dL
Bun 20 6-20 mg/dL
Creatinine, Serum 0.60 0.57-1.00 mg/dL
Egfr If Nonafricn Am 119 >59 mL/min/1.73
Egfr If Africn Am 138 >59 mL/min/1.73
Bun/Creatinine Ratio 33 8-20 1
Sodium, Serum 141 134-144 mmol/L
Potassium, Serum 4.4 3.5-5.2 mmol/L
Chloride, Serum 104 97-108 mmol/L
Carbon Dioxide, Total 23 18-29 mmol/L
Calcium, Serum 9.4 8.7-10.2 mg/dL
gradient image
Thank you!
WBC 10.2 Higher end of normal
RBC 5.22 Higher end of normal
Platelets 350 higher end of normal
Neutrophils 5.1
Lymphocytes 3.7 High
BUN 19 Higher end of normal
Creatinine 0.61 Lower end of normal
BUN/Creatinine 31 High
Urinalysis: No bacterial culture, trace of protein and 10-25 WBC in urine (found under a microscope) . They should not be there.
What should I do? What would be the next step? Do I need to see a urologist for a cytoscopy and a biopsy to rule out cancer? Or do I need to see a kidney specialist? I looked at my blood work from November and likewise numbers were off:
Test Low Normal High Reference Range Units
Uric Acid, Serum 4.6 2.5-7.1 mg/dL
Ggt
Test Low Normal High Reference Range Units
Ggt 11 0-60 IU/L
Tsh
Test Low Normal High Reference Range Units
Tsh 3.030 0.450-4.500 uIU/mL
Cbc With Differential/Platelet
Test Low Normal High Reference Range Units
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL
Immature Granulocytes 0 %
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Eos (Absolute) 0.5 0.0-0.4 x10E3/uL
Monocytes(Absolute) 0.6 0.1-0.9 x10E3/uL
Lymphs (Absolute) 2.9 0.7-3.1 x10E3/uL
Neutrophils (Absolute) 3.2 1.4-7.0 x10E3/uL
Basos 1 %
Eos 7 %
Monocytes 8 %
Lymphs 40 %
Neutrophils 44 %
Platelets 307 150-379 x10E3/uL
Rdw 13.4 12.3-15.4 %
Mchc 33.4 31.5-35.7 g/dL
Mch 28.1 26.6-33.0 pg
Mcv 84 79-97 fL
Hematocrit 41.0 34.0-46.6 %
Hemoglobin 13.7 11.1-15.9 g/dL
Rbc 4.88 3.77-5.28 x10E6/uL
Wbc 7.3 3.4-10.8 x10E3/uL
Lipid Panel W/ Chol/Hdl Ratio
Test Low Normal High Reference Range Units
Cholesterol, Total 246 100-199 mg/dL
Triglycerides 92 0-149 mg/dL
Hdl Cholesterol 71 >39 mg/dL
Vldl Cholesterol Cal 18 5-40 mg/dL
Ldl Cholesterol Calc 157 0-99 mg/dL
T. Chol/Hdl Ratio 3.5 0.0-4.4 ratio units
Hepatic Function Panel (7)
Test Low Normal High Reference Range Units
Protein, Total, Serum 7.7 6.0-8.5 g/dL
Albumin, Serum 4.5 3.5-5.5 g/dL
Bilirubin, Total 0.4 0.0-1.2 mg/dL
Bilirubin, Direct 0.09 0.00-0.40 mg/dL
Alkaline Phosphatase, S 65 39-117 IU/L
Ast (Sgot) 16 0-40 IU/L
Alt (Sgpt) 15 0-32 IU/L
Basic Metabolic Panel (8)
Test Low Normal High Reference Range Units
Glucose, Serum 87 65-99 mg/dL
Bun 20 6-20 mg/dL
Creatinine, Serum 0.60 0.57-1.00 mg/dL
Egfr If Nonafricn Am 119 >59 mL/min/1.73
Egfr If Africn Am 138 >59 mL/min/1.73
Bun/Creatinine Ratio 33 8-20 1
Sodium, Serum 141 134-144 mmol/L
Potassium, Serum 4.4 3.5-5.2 mmol/L
Chloride, Serum 104 97-108 mmol/L
Carbon Dioxide, Total 23 18-29 mmol/L
Calcium, Serum 9.4 8.7-10.2 mg/dL
gradient image
Thank you!
Brief Answer:
Burning Urination with lower abdominal pain ?Under Evaluation
Detailed Answer:
Brief Ans-Burning Urination with lower abdominal pain ?Under Evaluation
HI Dear !! Thanks for your query to HCM.
Read and reviewed your query in context to your blood reports and urinalysis and your medical history.
I would need more information on following facts-
Since when you have been suffering from Post-Traumatic Stress Syndrome?
Do you have fever with burning urination and pain in lower abdomen while urination?
How did the burning urination Start? Did it start after birth of your child?
Was the delivery normal or with any complication? Was urinary burning there before delivery of child?
Was it accompanied with Chills / rigors any time?
Was there any weight loss lately? how is your appetite?
Was there any malaise/ body ache and low grade fever in the evening, with night sweating lately in last few months time ?
Any Chest infection with Chronic Cough in the past ?as you have history of hay fever and asthma.
Any history of TB lung in your family or with you in the past ?
I would need more information as asked above,before I give any suggestions on your queries.
My Primary Impression-
Based on the facts of your query-You seem to be having Urinary Tract infection-though with Normal Urine Culture but with WBCs in Urine Analysis, which is unusual.
In this scenario-other possibilities need to be worked out,which I would suggest only after study of the above information from you.
Just don't jump down to the conclusion of bladder / Kidney Cancer,which is a remote possibility,based on your complaints and age.
I would suggest you, to just Wait till You update Me more information on the lead questions asked as above.
Regarding your Queries -
Q-What should I do? What would be the next step? Do I need to see a urologist for a cystoscopy and a biopsy to rule out cancer? Or do I need to see a kidney specialist?
Ans-I would reply all your queries regarding plan of dealing with your health issues, after completing My assessment of your Problem.
Welcome for any further query and information in this regard.
Keep Me updated soon.
Good Day !!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Burning Urination with lower abdominal pain ?Under Evaluation
Detailed Answer:
Brief Ans-Burning Urination with lower abdominal pain ?Under Evaluation
HI Dear !! Thanks for your query to HCM.
Read and reviewed your query in context to your blood reports and urinalysis and your medical history.
I would need more information on following facts-
Since when you have been suffering from Post-Traumatic Stress Syndrome?
Do you have fever with burning urination and pain in lower abdomen while urination?
How did the burning urination Start? Did it start after birth of your child?
Was the delivery normal or with any complication? Was urinary burning there before delivery of child?
Was it accompanied with Chills / rigors any time?
Was there any weight loss lately? how is your appetite?
Was there any malaise/ body ache and low grade fever in the evening, with night sweating lately in last few months time ?
Any Chest infection with Chronic Cough in the past ?as you have history of hay fever and asthma.
Any history of TB lung in your family or with you in the past ?
I would need more information as asked above,before I give any suggestions on your queries.
My Primary Impression-
Based on the facts of your query-You seem to be having Urinary Tract infection-though with Normal Urine Culture but with WBCs in Urine Analysis, which is unusual.
In this scenario-other possibilities need to be worked out,which I would suggest only after study of the above information from you.
Just don't jump down to the conclusion of bladder / Kidney Cancer,which is a remote possibility,based on your complaints and age.
I would suggest you, to just Wait till You update Me more information on the lead questions asked as above.
Regarding your Queries -
Q-What should I do? What would be the next step? Do I need to see a urologist for a cystoscopy and a biopsy to rule out cancer? Or do I need to see a kidney specialist?
Ans-I would reply all your queries regarding plan of dealing with your health issues, after completing My assessment of your Problem.
Welcome for any further query and information in this regard.
Keep Me updated soon.
Good Day !!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hello Dr. Savaskar,
I had PTSD since my father died in 2013, it was very traumatic but unrelated to my current symptoms. Maybe only general anxiety. I am doing better with my PTSD and grief.
I have no fever. If I drink a lot of water, my urination becomes not so painful.
It started a few months ago. I went to my ObGyn. My vaginal culture is normal. I am married, no STD.
My child delivery was normal.
I do get chest infections such as bronchitis 2-3x a year. I have an asthma.
I don't have TB.
How does my blood work look? Why do I have WBC (only 10-25cells) in urine culture and a trace of protein?
My BUN/Createnine ration was high for the last 2 years--range in 30s. Can it be kidney disease?
Why I have high WBC and Lymphocytes? Is it indicative of Cancer or Infection?
Which specialist do I need to see? Should I take antibiotics?
Thank you
I had PTSD since my father died in 2013, it was very traumatic but unrelated to my current symptoms. Maybe only general anxiety. I am doing better with my PTSD and grief.
I have no fever. If I drink a lot of water, my urination becomes not so painful.
It started a few months ago. I went to my ObGyn. My vaginal culture is normal. I am married, no STD.
My child delivery was normal.
I do get chest infections such as bronchitis 2-3x a year. I have an asthma.
I don't have TB.
How does my blood work look? Why do I have WBC (only 10-25cells) in urine culture and a trace of protein?
My BUN/Createnine ration was high for the last 2 years--range in 30s. Can it be kidney disease?
Why I have high WBC and Lymphocytes? Is it indicative of Cancer or Infection?
Which specialist do I need to see? Should I take antibiotics?
Thank you
Brief Answer:
?Burning Urination with lower abdominal pain / Under Evaluation
Detailed Answer:
Brief Ans-?Burning Urination with lower abdominal pain / Under Evaluation
Hi Dear !! Thanks for your query updates.
Read and reviewed your updated query data in context to your health concerns.
I would want further information for My study and review as follows-
What is your job and diet schedules for a day?
Does your job involves travelling / or sedentary ?
Update list of drugs taken for asthma / Urinary tract by You ?
How frequently you take tea/coffee per day?
How are your bowel movements-with hard or semi-formed stools?Any diarrhea frequently?
Would reply your query after I get above information.
My Primary Impression and Explanation about your health issues-
Being a case of PTSD, your body is under extreme emotional trauma and stress,after death of your father.
Dear its very complex technical subject which I wanted to skip, as it needs lot of depth in the medical pahto-physiology,but I am trying to make it as simple as possible,for you to understand.
It may be very difficult to understand in the depth, in which I am explaining it to you.
So I would suggest to discuss this with your Expert attending doctor,who would help you in getting the GIST of My experienced suggestions in your complex case.
I am trying to find out why have negative culture with high WBC's in your Urine Analysis.
With stress you thus go in to reduced immunity have neglected health issue for quite some time.
Your Upper and lower Urinary System is under chronic stress thereby.
High Lymphocytes indicates infection for a long period in your case.
HIGH BUN indicates stress due to PTSD and Urinary infection for a long time.
Creatinine is in normal range. So need not worry, as the Kidney is up-keeping that load still with in normal range.
Prima facie-No possibility of Cancer of Bladder / Kidney in your case.
Your case needs to be managed after meticulous study and review of the history data and would take few more sessions.
Welcome any further information and query in this regard.
Welcome for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Would reply your query after I get above information.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
?Burning Urination with lower abdominal pain / Under Evaluation
Detailed Answer:
Brief Ans-?Burning Urination with lower abdominal pain / Under Evaluation
Hi Dear !! Thanks for your query updates.
Read and reviewed your updated query data in context to your health concerns.
I would want further information for My study and review as follows-
What is your job and diet schedules for a day?
Does your job involves travelling / or sedentary ?
Update list of drugs taken for asthma / Urinary tract by You ?
How frequently you take tea/coffee per day?
How are your bowel movements-with hard or semi-formed stools?Any diarrhea frequently?
Would reply your query after I get above information.
My Primary Impression and Explanation about your health issues-
Being a case of PTSD, your body is under extreme emotional trauma and stress,after death of your father.
Dear its very complex technical subject which I wanted to skip, as it needs lot of depth in the medical pahto-physiology,but I am trying to make it as simple as possible,for you to understand.
It may be very difficult to understand in the depth, in which I am explaining it to you.
So I would suggest to discuss this with your Expert attending doctor,who would help you in getting the GIST of My experienced suggestions in your complex case.
I am trying to find out why have negative culture with high WBC's in your Urine Analysis.
With stress you thus go in to reduced immunity have neglected health issue for quite some time.
Your Upper and lower Urinary System is under chronic stress thereby.
High Lymphocytes indicates infection for a long period in your case.
HIGH BUN indicates stress due to PTSD and Urinary infection for a long time.
Creatinine is in normal range. So need not worry, as the Kidney is up-keeping that load still with in normal range.
Prima facie-No possibility of Cancer of Bladder / Kidney in your case.
Your case needs to be managed after meticulous study and review of the history data and would take few more sessions.
Welcome any further information and query in this regard.
Welcome for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Would reply your query after I get above information.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Sonia Raina
I am a stay at home mother of 4 children: 11,7,3 and 8 months. Older ones are full time in school. That keeps me very busy. I have a degree in Biochemistry and have been working full time until my third child. In 2013, I also had 2 adopted children from XXXXXXX for 2 years with severe behavioral problems such as Reactive attachment disorder. It caused severe trauma to our family, including abuse to my biological child by the adopted ones. A different family adopted them because of safety issue to the youngest child but I still have a sense of loss and failure in healing those older kids. It was around the same time as my Dad died they left our house forever. they are doing better as only children in a different family but they don't communicate with me anymore. Lots of sadness and loss. Many friends turned away from me and judge me for failing those kids. I tried to do a good thing but it almost destroyed my family. That is why I have PTSD with insomnia and nightmares too. I am trying to overcome it and not feel guilty that I have to let those children go.
I am out and about, so I am not home all the time. My kids have activities, I have many chores to do.
I am taking Albuterol for asthma as needed. 2-3x a week.
I drank coffee every day--just stopped for the last 3 days to see if it will help.
I have normal bowel movements.
My culture from urine for bacteria again came back negative. Can it be a fungal infection such as a yeast infection UTI?
I am out and about, so I am not home all the time. My kids have activities, I have many chores to do.
I am taking Albuterol for asthma as needed. 2-3x a week.
I drank coffee every day--just stopped for the last 3 days to see if it will help.
I have normal bowel movements.
My culture from urine for bacteria again came back negative. Can it be a fungal infection such as a yeast infection UTI?
Brief Answer:
?Burning Urination with lower abdominal pain / Under Evaluation
Detailed Answer:
Brief Ans-?Burning Urination with lower abdominal pain / Under Evaluation
Mostly from TB Cysto-Urethritis
Hi Dear !! Thanks for the details updated so far.
On review of these updates with your blood and urine reports,please find replies to your questions which were pending still, as follows-
Regarding Replies-your Queries -
Q-1-What should I do?
Ans-You should Consult your Gyne and Get the Urine CULTURE for AFB organisms and IGRA test on Blood and Urine samples- to detect the hiedden / latent TB infection of Bladder and Urethra.
This is because -You could be suffering from Cysto-Urethritis.
This possibility is thought due to -Pyuria with Negative Urine Culture-for 2 times.
This possibility explains WBCS with negative Urine Culture.
Q-2-What would be the next step?
Ans-2-Do's Suggested-
Consult Gynec and Physician and get following plan executed under their co-operation and guidance.
-You should first get the URINE CULTURE for AFB organisms.Which would confirm TB Cysto-Urethritis- after 6 weeks when reports will come.
-In the mean while -
Take Plenty of Fluids in water /juices
Be on High Protein / bland diet
Take Antibitics-Tab Norfloxacin 400 mg Twice Daily-for 14 days after Urine Culture for AFB is sent
Tab Zicovit /Vit D3 / Vit B12 /Folic Acid to recoup general health.
This would reduce and control burning urination with lower abdominal pain mostly and would not need further care in 2 weeks time.
If no relief in complaints-
Then Cystoscopic examination with CT Contrast studies of KUB and abdomen to rule out other causes for lower abdominal pain.
Q-3-Do I need to see a urologist for a cystoscopy and a biopsy to rule out cancer? Or do I need to see a kidney specialist?
Ans-AS discussed above you would not need Cystoscopy / Urologist if things control in next 2-3 weeks time after above investigations and treatment.
But in case- you don't get any relief, you would need Urologist and Cystoscopy and even Biopsy to rule out TB cystitis,which would confirm other tests for AFB-acid-fast -bacilli.
Q-4-How does my blood work look?
Ans-Your blood work indicates chronic infection in body-that is in bladder and urine and confirms possibility of latent TB Cystitis.
I say latent-as you have not complained of any weight loss / evening rise of temperature/ loss of appetite / or AFB Sputum positivity wad detected in your case till today,as there was no suspicion due to lac of symptoms of TB lung or TB Cystitis/urethritis/Nephritis
Q-5-Why do I have WBC (only 10-25cells) in uriline culture and a trace of protein?
Ans-This unusual combination-confirms possibility of TB Cysto-Urethritis-where Pyuria accompanies negative Urine Culture and is well known reason for this combination.
Q-6-My BUN/Createnine ration was high for the last 2 years--range in 30s. Can it be kidney disease?
Ans-This is because of high BMR from severe anxiety from PTSD stress which you had and with resultant fluid stress from- low fluid intake and coffee intake adding more water loss.
Q-7-Why I have high WBC and Lymphocytes? Is it indicative of Cancer or Infection?
Ans-Your WBC's and Lymphocytes-are high due to chronic TB Cystitis/urethritis with ?superadded infection.
Q-8-Which specialist do I need to see?
Ans-You may start with a team of Gynec and Physician.
If no relief as discussed above, then you need to Consult Urologist / Nephrologist if need be.
Q-9- Should I take antibiotics?
Ans-You should try with increased fluids and Alkalisation of Urine- for 1-2 weeks.
If high fluids relieve your burning urination, no need of antibiotics in that case.
If burning pain is not relieved ,
Tab Pyridium 200 mg x 3 times a day x 2 weeks.
Add Tab Norfloxacin-400 mgm -1 x 2 times for 2 weeks.
If no relief still - investigate for TB Cystitis by Urine-AFB Culture and IGRA blood and urine sample testing .AFter confirmation start Anti-TB medicines- to treat it accordingly as per suggestions of Physician.
Also rule out TB Lung and TB Kidney which could be accompanied and needs to be ruled and treated if present.
Hope this reply helps you for further treatment with help of doctors there.
Welcome any further information and query in this regard.
Welcome for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
If you don't have any further query and satisfied,please express your pleasing feedback comments to rate this reply and service, to boost the morale of incoming patients at HCM services.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
?Burning Urination with lower abdominal pain / Under Evaluation
Detailed Answer:
Brief Ans-?Burning Urination with lower abdominal pain / Under Evaluation
Mostly from TB Cysto-Urethritis
Hi Dear !! Thanks for the details updated so far.
On review of these updates with your blood and urine reports,please find replies to your questions which were pending still, as follows-
Regarding Replies-your Queries -
Q-1-What should I do?
Ans-You should Consult your Gyne and Get the Urine CULTURE for AFB organisms and IGRA test on Blood and Urine samples- to detect the hiedden / latent TB infection of Bladder and Urethra.
This is because -You could be suffering from Cysto-Urethritis.
This possibility is thought due to -Pyuria with Negative Urine Culture-for 2 times.
This possibility explains WBCS with negative Urine Culture.
Q-2-What would be the next step?
Ans-2-Do's Suggested-
Consult Gynec and Physician and get following plan executed under their co-operation and guidance.
-You should first get the URINE CULTURE for AFB organisms.Which would confirm TB Cysto-Urethritis- after 6 weeks when reports will come.
-In the mean while -
Take Plenty of Fluids in water /juices
Be on High Protein / bland diet
Take Antibitics-Tab Norfloxacin 400 mg Twice Daily-for 14 days after Urine Culture for AFB is sent
Tab Zicovit /Vit D3 / Vit B12 /Folic Acid to recoup general health.
This would reduce and control burning urination with lower abdominal pain mostly and would not need further care in 2 weeks time.
If no relief in complaints-
Then Cystoscopic examination with CT Contrast studies of KUB and abdomen to rule out other causes for lower abdominal pain.
Q-3-Do I need to see a urologist for a cystoscopy and a biopsy to rule out cancer? Or do I need to see a kidney specialist?
Ans-AS discussed above you would not need Cystoscopy / Urologist if things control in next 2-3 weeks time after above investigations and treatment.
But in case- you don't get any relief, you would need Urologist and Cystoscopy and even Biopsy to rule out TB cystitis,which would confirm other tests for AFB-acid-fast -bacilli.
Q-4-How does my blood work look?
Ans-Your blood work indicates chronic infection in body-that is in bladder and urine and confirms possibility of latent TB Cystitis.
I say latent-as you have not complained of any weight loss / evening rise of temperature/ loss of appetite / or AFB Sputum positivity wad detected in your case till today,as there was no suspicion due to lac of symptoms of TB lung or TB Cystitis/urethritis/Nephritis
Q-5-Why do I have WBC (only 10-25cells) in uriline culture and a trace of protein?
Ans-This unusual combination-confirms possibility of TB Cysto-Urethritis-where Pyuria accompanies negative Urine Culture and is well known reason for this combination.
Q-6-My BUN/Createnine ration was high for the last 2 years--range in 30s. Can it be kidney disease?
Ans-This is because of high BMR from severe anxiety from PTSD stress which you had and with resultant fluid stress from- low fluid intake and coffee intake adding more water loss.
Q-7-Why I have high WBC and Lymphocytes? Is it indicative of Cancer or Infection?
Ans-Your WBC's and Lymphocytes-are high due to chronic TB Cystitis/urethritis with ?superadded infection.
Q-8-Which specialist do I need to see?
Ans-You may start with a team of Gynec and Physician.
If no relief as discussed above, then you need to Consult Urologist / Nephrologist if need be.
Q-9- Should I take antibiotics?
Ans-You should try with increased fluids and Alkalisation of Urine- for 1-2 weeks.
If high fluids relieve your burning urination, no need of antibiotics in that case.
If burning pain is not relieved ,
Tab Pyridium 200 mg x 3 times a day x 2 weeks.
Add Tab Norfloxacin-400 mgm -1 x 2 times for 2 weeks.
If no relief still - investigate for TB Cystitis by Urine-AFB Culture and IGRA blood and urine sample testing .AFter confirmation start Anti-TB medicines- to treat it accordingly as per suggestions of Physician.
Also rule out TB Lung and TB Kidney which could be accompanied and needs to be ruled and treated if present.
Hope this reply helps you for further treatment with help of doctors there.
Welcome any further information and query in this regard.
Welcome for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
If you don't have any further query and satisfied,please express your pleasing feedback comments to rate this reply and service, to boost the morale of incoming patients at HCM services.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thank you for your reply!
How dangerous is it if I have urinary TB? Is it contagious? What is the treatment? Is it fatal?
Could it be yeast instead? Or chlamydia or gonorrhea (I am monogamous with my husband so I think it is very unlikely)?
Also, what natural herbal supplements can I take to alleviate my symptoms?
Changes in my diet?
Thanks
How dangerous is it if I have urinary TB? Is it contagious? What is the treatment? Is it fatal?
Could it be yeast instead? Or chlamydia or gonorrhea (I am monogamous with my husband so I think it is very unlikely)?
Also, what natural herbal supplements can I take to alleviate my symptoms?
Changes in my diet?
Thanks
Brief Answer:
...Its Curable .Consider Thorough Investigations,Don't be Panicky!!
Detailed Answer:
Brief Ans-...Its Curable .Consider Thorough Investigations,Don't be Panicky!!
Be patient till confirmed by AFB Urine Culture.
Hi Dear !! Thanks for the update queries
TB in itself is curable.
TB is contagious if proved to be there after all tests.So just don't be panicky till proved by tests.
Latent TB is detectable by IGRA Blood test or Urine sample tests.
If cared properly ..its not fatal and....It's Cuarble as very good Medicines are there for its cure.
-Other Causes need to be ruled out by proper and thorough investigations with your doctors.
In view of the whole facts of your query,chances of chlamydia/ gonorrhea are remote,for Sterile Pyuria in your case.
LCr test on blood and urine would fix the cause for these infections.
Possibility of False negative with Urine culture with accidental antiseptic mixed with culture broth-is to be worked up.But as you have 2 negative cultures that possibility is also remote.
Possibility of Low counts with high intake of fluids needs to be ruled out with repeat Urine Cultures.Possibility of Fungus/ yeast needs to be ruled out.
Possibility of Gonorrhea needs to be ruled out with special culture broths for Urine cultures.
Possibility of Non-infectious-causes -as Uric acid / hypercalcemia/ excess paracetamol/ Intestitial Cystitis- an autoimmune Cystourethritis with burning micturition .Sarcoidosis/ Lupus could be fixed with Cystoscopic biospy.
But all these are technical possibilities and is the function of THOROUGH INVESTIGASTIONS AND ASSESSMENT OF YOUR CASE.
So be patient and co-operate with your doctors to investigate.
Don't be Panicky and hypochondriac till then.
Suggestions-
Hence I would suggest you to discuss these possibilities with your attending Physician and Nephrologist/ Urologist, if need be.
Good high protein diet
Exposure to Sunlight daily for 20 mts
Walking exercise for 30 mts a day
Plenty of fluids and Fruit juices to improve body resistance.
Don't Confuse with herbals and complicate your health issues, which are very special and would need work up as sugggested to resolve it fast.
Tab Zincovit / Vit D3 / Vit B12 /Folic Acid and
Anti-oxidant supplements with Vit E/beta Carotene / Vit C- orally would recoup your defences.
Hope this discussion with the replies above would help you to plan further treatment with your doctors there, to resolve your case .
Welcome for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Do close this query,If you don't have any further query and if you are satisfied,with pleasing feedback comments to rate this reply and service, to boost the morale of incoming patients at HCM services.
Welcome 24 x 7 to resolve your case,I would love to help you out in time to come...!!
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
...Its Curable .Consider Thorough Investigations,Don't be Panicky!!
Detailed Answer:
Brief Ans-...Its Curable .Consider Thorough Investigations,Don't be Panicky!!
Be patient till confirmed by AFB Urine Culture.
Hi Dear !! Thanks for the update queries
TB in itself is curable.
TB is contagious if proved to be there after all tests.So just don't be panicky till proved by tests.
Latent TB is detectable by IGRA Blood test or Urine sample tests.
If cared properly ..its not fatal and....It's Cuarble as very good Medicines are there for its cure.
-Other Causes need to be ruled out by proper and thorough investigations with your doctors.
In view of the whole facts of your query,chances of chlamydia/ gonorrhea are remote,for Sterile Pyuria in your case.
LCr test on blood and urine would fix the cause for these infections.
Possibility of False negative with Urine culture with accidental antiseptic mixed with culture broth-is to be worked up.But as you have 2 negative cultures that possibility is also remote.
Possibility of Low counts with high intake of fluids needs to be ruled out with repeat Urine Cultures.Possibility of Fungus/ yeast needs to be ruled out.
Possibility of Gonorrhea needs to be ruled out with special culture broths for Urine cultures.
Possibility of Non-infectious-causes -as Uric acid / hypercalcemia/ excess paracetamol/ Intestitial Cystitis- an autoimmune Cystourethritis with burning micturition .Sarcoidosis/ Lupus could be fixed with Cystoscopic biospy.
But all these are technical possibilities and is the function of THOROUGH INVESTIGASTIONS AND ASSESSMENT OF YOUR CASE.
So be patient and co-operate with your doctors to investigate.
Don't be Panicky and hypochondriac till then.
Suggestions-
Hence I would suggest you to discuss these possibilities with your attending Physician and Nephrologist/ Urologist, if need be.
Good high protein diet
Exposure to Sunlight daily for 20 mts
Walking exercise for 30 mts a day
Plenty of fluids and Fruit juices to improve body resistance.
Don't Confuse with herbals and complicate your health issues, which are very special and would need work up as sugggested to resolve it fast.
Tab Zincovit / Vit D3 / Vit B12 /Folic Acid and
Anti-oxidant supplements with Vit E/beta Carotene / Vit C- orally would recoup your defences.
Hope this discussion with the replies above would help you to plan further treatment with your doctors there, to resolve your case .
Welcome for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Do close this query,If you don't have any further query and if you are satisfied,with pleasing feedback comments to rate this reply and service, to boost the morale of incoming patients at HCM services.
Welcome 24 x 7 to resolve your case,I would love to help you out in time to come...!!
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
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