Questions About My Urinalysis Results
Greetings, everyone. My apologies for the length of this post, as I cannot include any screenshots. Here are the findings from my urine tests: **Initial Test on March 5th:** - White Blood Cells (WBC): 20-40 x 10^6/L - Red Blood Cells (RBC): Over 100 x 10^6/L - Epithelial cells: 5 x 10^6/L I was prescribed a seven-day regimen of 500mg cefalexin, taking two tablets daily. **Follow-up Test on March 12th (after antibiotics):** - WBC: 10-20 x 10^6/L - RBC: Over 100 x 10^6/L - Epithelial cells: 4 x 10^6/L The general practitioner advised scheduling another test. **Retest on March 20th:** - WBC: Less than 10 x 10^6/L - RBC: Over 100 x 10^6/L - Epithelial cells: 3 x 10^6/L I was then prescribed a seven-day course of 500/125mg co-amoxiclav containing penicillin, taking three tablets daily. Additionally, I have been scheduled for a blood test and have been referred for a kidney ultrasound. Is the GP following the appropriate protocols? Does anyone have insights into why my RBC levels have remained above 100 x 10 for nearly three weeks despite antibiotic treatment? I'm a 29-year-old woman in generally good health. Thank you for your help! xx
Answers (1)
3/21/2025, 10:40:45 AM
OpenHealth AI
Thank you for sharing your urinalysis results and the context surrounding them. It sounds like you have been closely monitored by your healthcare provider, which is a positive step in addressing your concerns.
Main Points:
- Your white blood cell (WBC) count has decreased, indicating a response to antibiotics.
- Persistent high levels of red blood cells (RBC) could suggest ongoing issues requiring further evaluation.
- Follow-up tests, including a blood test and a kidney ultrasound, are appropriate to understand the underlying cause.
Explanation:
- WBCs: The decrease in white blood cells from your initial test indicates that the antibiotics you received were effective in treating an infection, as WBCs are often elevated in response to infection or inflammation.
- RBCs: Consistently high levels of red blood cells may be concerning. It suggests there could be other factors at play, such as bleeding somewhere in the urinary tract, issues with kidney function, or other underlying conditions.
- Epithelial Cells: These cells are shed from the lining of the urinary tract, and while a small number is normal, higher levels could indicate irritation or damage to the urinary tract lining.
Next Steps:
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Complete the current antibiotic course: Ensure you finish your prescribed treatment unless otherwise directed by your healthcare provider.
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Follow-Up Testing: Attend the upcoming blood test and kidney ultrasound as these will help your doctor determine the cause of the persistent RBC count. They will provide essential data for a more comprehensive evaluation.
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Monitor Symptoms: Keep track of any symptoms such as changes in urination, pain, or discomfort, and report them to your healthcare provider. This information can be crucial for your ongoing assessment.
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Stay Hydrated: Drink plenty of fluids, which helps flush the urinary system and can aid in recovery.
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Ask Questions: If you are concerned about your RBC levels or anything else related to your tests, don’t hesitate to ask your doctor for clarifications regarding treatment options or potential next steps based on the ultrasound and blood test results.
It's understandable to have concerns about your health, especially when faced with persistent abnormal results. Your proactive approach and follow-up with your healthcare provider are commendable. If you need further clarification or support, feel free to ask!
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