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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Urinalysis Of A 59-year-old Indicate?

I am a 59 year old male. I was having swelling in both legs with urine infection and On a couple of days had shivering fever. The lab tests taken on may 27th had the results as Albumin (++), Pus Cells (8-10), RBC (10-12) and bacteria present. The 24 hour Urine protein showed 376 mg/day. Urine culture, the results showed that E-coli bacteria. So the doctor prescribed Mortifur 100 mg which I had been taking for 10 days. In addition I was asked to take Nephrosave. Now, there is no fever, there is no swelling in the legs. However, when I went for a follow up test today the lab results showed that Albumin(++), Pus celles ( 25) and bacteria present. All others including RBC were normal. The doctor this time has suggested that I take Nephrosave, Pinom (20mg). He suggested that more anti biotics is not necessary and that I need to continue taking these tablets and test urine again every 2 months. Since, the bacteria is still present in the urine with pus cells 25 I am worried. Since, I have been asked to stop taking anti biotics will the bacteria grow and affect kidney? Please advice.
Mon, 23 Dec 2019
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General Surgeon,  's  Response
Hi,

Many times, residual pus cells with albumin show up in absence of active bacterial infection during recovery phase for many reasons, particularly being from low neutrophil response in concern with low immunity levels. Over all important is clinical improvement and normal kidney function tests which are serum creatinine, urea levels and AG ratio with total WBC counts. Keep drinking more liquids to maintain hydration and combat the underlying issue in nice and sound manner.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Does The Urinalysis Of A 59-year-old Indicate?

Hi, Many times, residual pus cells with albumin show up in absence of active bacterial infection during recovery phase for many reasons, particularly being from low neutrophil response in concern with low immunity levels. Over all important is clinical improvement and normal kidney function tests which are serum creatinine, urea levels and AG ratio with total WBC counts. Keep drinking more liquids to maintain hydration and combat the underlying issue in nice and sound manner. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon