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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Urinalysis Result Mean?

My urinalysis came back with the following out of range results: amber, cloudy, 3+ leukocyte esterase, 1+ protein, trace ketones, 10-15 wbc, 15-20 epithelial cells 1+ bacteria, and moderate healing casts. There was no growth on the culture. What does this mean? I also have lupus.
Mon, 11 Apr 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern.
First note normal urine analysis:

Color – Yellow (light/pale to dark/deep amber)- cloudy in your case
Clarity/turbidity – Clear or cloudy
pH – 4.5-8
Specific gravity – 1.005-1.025
Glucose - ≤130 mg/d
Ketones – None___________ positive
Nitrites – Negative
Leukocyte esterase – Negative_______positive
Bilirubin – Negative
Urobilirubin – Small amount (0.5-1 mg/dL)
Blood - ≤3 RBCs
Protein - ≤150 mg/d________positive
RBCs - ≤2 RBCs/hpf
WBCs - ≤2-5 WBCs/hpf____________> wbc
Squamous epithelial cells - ≤15-20 squamous epithelial cells/hpf
Casts – 0-5 hyaline casts/lpf
Crystals – Occasionally
Bacteria – None _____present
Yeast - None

Cloudy, WBC and bacteria suggest you are suffering from urinary tract infection.
Protein is also present suggest glomerular damage: may be due to Hypertension or diabetes.
Ketone trace: Either you are in starvation/fasting or diabetes

Check your blood sugar and blood pressor
Drink plenty of water
Tablet septran three times a day for 3 days or
Tablet cefuroxime 400 mg two times a day for 4 days
Eat fruits like orange, papaya and cranberry.
Repeat the urine test after 7 days to know the clearance of bacteria.


Hope this may help you.
Best regards
Dr. Sagar
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What Does The Following Urinalysis Result Mean?

Hello dear Understand your concern. First note normal urine analysis: Color – Yellow (light/pale to dark/deep amber)- cloudy in your case Clarity/turbidity – Clear or cloudy pH – 4.5-8 Specific gravity – 1.005-1.025 Glucose - ≤130 mg/d Ketones – None___________ positive Nitrites – Negative Leukocyte esterase – Negative_______positive Bilirubin – Negative Urobilirubin – Small amount (0.5-1 mg/dL) Blood - ≤3 RBCs Protein - ≤150 mg/d________positive RBCs - ≤2 RBCs/hpf WBCs - ≤2-5 WBCs/hpf____________ wbc Squamous epithelial cells - ≤15-20 squamous epithelial cells/hpf Casts – 0-5 hyaline casts/lpf Crystals – Occasionally Bacteria – None _____present Yeast - None Cloudy, WBC and bacteria suggest you are suffering from urinary tract infection. Protein is also present suggest glomerular damage: may be due to Hypertension or diabetes. Ketone trace: Either you are in starvation/fasting or diabetes Check your blood sugar and blood pressor Drink plenty of water Tablet septran three times a day for 3 days or Tablet cefuroxime 400 mg two times a day for 4 days Eat fruits like orange, papaya and cranberry. Repeat the urine test after 7 days to know the clearance of bacteria. Hope this may help you. Best regards Dr. Sagar