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What Does The Presence Of RBC In Urine Indicate?

Posted on Thu, 7 May 2015

Question: RBC IN URINE. 10-20 HPF
What, if anything, does it mean?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Could be due to UTI.

Detailed Answer:
Hello
Thanks for your query,

10-20 RBC in urine is termed as microscopic hematuria and could be mostly due to UTI,secondary to Post Menopausal Urethral stenosis.

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,urgency,burning ?
2) Are you taking any medications like Aspirin?
3) Do you have pain in abdomen?

Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.

Please take broad spectrum antibiotics like C ef exine along with urinary antisept ic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute .

Repeat your urine analysis after a week a.If it still reveals presence of RBC consult qualified Urologist for further investigations .

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

Follow up: Dr. Dr. P. T. Patil (1 hour later)

You asked for more details:
Here is a whole litany---

Pain in abdomen before and after urinating---
Mild nausea
Two episodes of fever in three weeks
Pain under my ribs
No aspirin or any meds except acid reflux meds -- PRN
Still functioning--- part time job -- domestic violence intervention
G-daughters soccer games and practice - daily
Third Order Franciscan

Answered by Dr. Dr. P. T. Patil (54 minutes later)

Brief Answer:
Need to do Ultrasound Scanning of abdomen.

Detailed Answer:
Hello
Thanks for fed back.
Recurrent episode of fever and pain in loin is suspected to be due to presence of urinary stone either in kidney or ureter associated with UTI.

Please get your ultrasound scanning of the abdomen and test suggeste earlier done to confirm the diagnosis.

Continue taking medicines suggested earlier ..

Consult qualified Urologist for further management will depend upon the results of these test and final diagnosis,

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

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