What Does My Blood Test Report Indicate?

Posted on Mon, 9 Mar 2015

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

Mon, 9 Mar 2015 Answered on

Mon, 30 Mar 2015 Last reviewed on

Question : I had some blood work, and I'm concerned about the levels. They weren't explained to me

Answered by Dr. Vivek Chail (17 minutes later)

Brief Answer:
Please attach report copy or write in with blood levels as given in report

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
May I request you to please attach a copy of your blood reports or send your report details in response to this reply.

Once I receive the blood report information, I will explain them in detail to you.

Waiting for updates from your end

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (2 hours later)

Range     Your Value
BILIRUBIN, T
Component     Standard Range     Your Value
AST     <=
Component     Standard Range     Your Value
CREATININE     <=1.10 mg/dL     0.82
GLOMERULAR FILTRATION RATE           75
RACE           Non Black30 U/L     20OTAL
Component     Standard Range     Your Value
SODIUM     135 - 145 mEq/L     135
POTASSIUM     3.5 - 5.0 mEq/L     4.1
CHLORIDE     101 - 111 mEq/L     102
CO2     21 - 31 mEq/L     23     <=1.0 mg/dL     0.6     Standard Range     Your Value
WBC'S, UA/HPF     0 - 5 /HPF     6-10
RBC, URINE HPF     0 - 3 /HPF     11-25
BACTERIA, URINE HPF     None /HPF     None
SQUAMOUS EPITHELIAL CELLS, URINE SED, AUTOMATED COUNT, QUAL     None /HPF     Few
MUCOUS, UR SED, QL, AUTOMATED COUNT     None /HPF     PresentSODIUM     135 - 145 mEq/L     135
POTASSIUM     3.5 - 5.0 mEq/L     4.1
CHLORIDE     101 - 111 mEq/L     102
CO2     21 - 31 mEq/L     23LIPASE     <=58 U/L     24     Standard Range     Your Value
CREATININE     <=1.10 mg/dL     0.82
GLOMERULAR FILTRATION RATE           75
RACE           Non Black     Standard Range     Your Value
GLUCOSE, UA     Negative mg/dL     <30 (Neg)
KETONES, UA     Negative mg/dL     10 (1+)
SPECIFIC GRAVITY, UA     1.005 - 1.030     1.021
UA HGB     Negative mg/dL     0.20 (2+)
PH, UA     5.0 - 8.0     5.5
PROTEIN, UA     <30 (1+) mg/dL     10 (Trace)
NITRITE, UA     Negative     Negative
LEUKOCYTE ESTERASE, UA     Negative     Positive
UROBILINOGEN, UA, QL     Negative mg/dL     <2.0 (Neg)
BILIRUBIN, UA     Negative mg/dL     <0.5 (Neg)
MICROSCOPIC EXAM, URINE           To follow

Answered by Dr. Vivek Chail (47 minutes later)

Brief Answer:
Possible causes of sterile pyuria might have to be considered

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

The report values suggest the following
1. Increased white blood cells in urine
2. Presence of red blood cells in urine
3. Absence of bacteria in routine urine analysis

The above findings might be due to sterile pyuria. There is no bacteria identifiable but there are white blood cells and red blood cells in urine at higher than acceptable limits.

A sterile pyuria can have many causes
(i) you might have had urine infection that was recently treated.
(ii) There can be an infection due to atypical bacteria and that is not routinely detectable on urine analysis
(iii) Contamination of urine sample due to vaginal leukocytes and any wound in the genital tract
(iv) Kidney conditions like nephritis which are not due to infection

In conclusion, you should talk in detail with your urologist and gynecologist to know the exact reason for your urine analysis result. A urine culture might also be required.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar