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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hypertension. On Medication For High BP. Urine Report Showed Pus Cells, Prescribed Antibiotics And Kidney Biopsy. History Of PCOs. Is Biopsy Required?

Hi Doc,my wife is 32,and has hypertension for the past 4 years.She's been under medication ever since to control blood pressure and it is only recently that she met a Nephrologist by recommendation of a cardiologist.She's been undergoing various tests and almost every test result turned out normal except the urine full report showing a bit more pus cells than normal.Antibiotics were given(apart from her normal pressure medicine) for a couple of weeks assuming a urine infection.After these various tests she was asked to do a kidney biopsy which is quite expensive for us in our country.My question is Doc with the info I have given so far could there be a possibility of a kidney disease.We have no children and she was diagnosed for PCOS a few years back.Thank you!!
Fri, 19 Jul 2013
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General & Family Physician 's  Response
Hello.The most common cause of puss cells in urine is the infection of lower urinary tract or infection of upper urinary tract (kidney).
Other non-infectious kidney pathologies that causes puss cells in urine are: Polycystic Kidney, Kydney tuberculosis,Nephropathy by deposit uric acid , Nephropathy by calcium deposits, Kidney Stones,Nephropathy by use of painkillers( acetaminophen or aspirin).
Is necessary to do a kidney biopsy his wife to rule out that she can have some of these pathologies.
I wish you good health.
(In case the answer would have been useful please indicate this)
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

     The limited information provided is not sufficient enough to arrive at an appropriate conclusion...
     There ought to more, you may not be aware ...
Protein or casts in the urine / low albumin or haemoglobin in the blood / difficulty to control the pressure, abnormal finding on clinical examination or scan and so on are some of the many pointers for biopsy...
     The treating doctor alone can confirm based on his assessment of the situation.

Take care
Wishing speedy recovery
God bless
Good luck
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Hypertension. On Medication For High BP. Urine Report Showed Pus Cells, Prescribed Antibiotics And Kidney Biopsy. History Of PCOs. Is Biopsy Required?

Hello.The most common cause of puss cells in urine is the infection of lower urinary tract or infection of upper urinary tract (kidney). Other non-infectious kidney pathologies that causes puss cells in urine are: Polycystic Kidney, Kydney tuberculosis,Nephropathy by deposit uric acid , Nephropathy by calcium deposits, Kidney Stones,Nephropathy by use of painkillers( acetaminophen or aspirin). Is necessary to do a kidney biopsy his wife to rule out that she can have some of these pathologies. I wish you good health. (In case the answer would have been useful please indicate this)