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What Does Raised Blood Urea With Presence Of Pus Cells On Urinalysis Indicate?

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Posted on Tue, 15 Apr 2014
Twitter Tue, 15 Apr 2014 Answered on
Twitter Mon, 5 May 2014 Last reviewed on
Question : i am 75 years retired doctor suffering from high blood urea 64 mg/dl &pus cells in urine 12 to 20 serum uric acid 5.3 mg/dl but serum creatinine is normal 1.20 mg/dl . i discovered these findigs after an attak of acute bronchitis with feaver up to 38.5 twice in 2 succecive monthes this april & last march .i was treated in both attaks with moxifl0xacin 400 mg per day for a weak each time .i am waitig for the result of urine culture &sesitivity . i am asking for your help in diagnosis , treatment & prognosis i am not sufferig from diabetis m or hypertension ,thak you for your help.
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Answered by Dr. Dr. P. T. Patil (30 minutes later)
Brief Answer: Could be UTI secondary to Enlarged Prostate. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have marginally raised Blood Urea with presence of pus cells detected on routine urine examination. . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) Do you have any other Urinary symptoms like frequency of urination ,urgency,nocturia ,poor stream etc ? 2) Have you ever done Ultrasound scanning of abdomen to rule out enlarged prostate?and serum PSA? Considering your age of 75 years your symptoms could be due to Benign enlargement of prostate. Please consult qualified Urologist for clinical and digital rectal examination and get above investigations done under his guidance. In the mean while take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report. As regards raised blood urea ,it is likely to be due to UTI .and will come down once infection is controlled. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. P. T. Patil

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What Does Raised Blood Urea With Presence Of Pus Cells On Urinalysis Indicate?

Brief Answer: Could be UTI secondary to Enlarged Prostate. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have marginally raised Blood Urea with presence of pus cells detected on routine urine examination. . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) Do you have any other Urinary symptoms like frequency of urination ,urgency,nocturia ,poor stream etc ? 2) Have you ever done Ultrasound scanning of abdomen to rule out enlarged prostate?and serum PSA? Considering your age of 75 years your symptoms could be due to Benign enlargement of prostate. Please consult qualified Urologist for clinical and digital rectal examination and get above investigations done under his guidance. In the mean while take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report. As regards raised blood urea ,it is likely to be due to UTI .and will come down once infection is controlled. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.