Urine Test Results: What Do Abnormal Findings Mean? - Urology

Share to:

Urinary issues


Hello, Doctor.
I would like to ask about my health check report.
The urine analysis from half a month ago showed the following results:
- Urine protein (qualitative): Negative (reference value: Negative)
- Urine glucose (qualitative): Negative (reference value: Negative)
- Urine urobilinogen: 0.2 (reference value: ≤1.0)
- Urine bilirubin: Negative (reference value: Negative)
- Urine ketones: Negative (reference value: Negative)
- pH: 6.0 (reference value: 5.0-8.5)
- Nitrite: Negative (reference value: Negative)
- Specific gravity: 1.020 (reference value: 1.005-1.035)
- Urine occult blood: Negative (reference value: Negative)
- Leukocyte esterase: Negative (reference value: Negative)
Microscopic examination of urine sediment:
- Red blood cells: 0-2 (reference value: 0-2)
- White blood cells: 0-5 (reference value: 0-5)
- Casts: Negative (reference value: Negative)
- Crystals: Negative (reference value: Negative)
- Epithelial cells: 30-49 (highlighted in red) (reference value: 0-5)
- Other (urine examination): Positive (highlighted in red) Mucus
Could you please explain what the highlighted results mean? Additionally, I recently gave birth three months ago, and about a month ago, I noticed some bubbles in my urine, but I had no other discomfort.
I went to the hospital and was told I had a urinary tract infection and was treated with medication.
The bubbles seemed to decrease, but recently I noticed some bubbles again, although not as many.
The bubbles have not completely disappeared, and my urine appears slightly cloudy, but I do not experience any pain.
Does this indicate another urinary tract infection?
The health check report shows no issues with my liver or kidneys, but I have elevated triglycerides at 293, total cholesterol at 262, and low-density lipoprotein at 153.
Could you please help analyze these results? Thank you very much.

Miss Lin, 40~49 year old female. Ask Date: 2019/02/02

Dr. Du Mingyi reply Urology


The values marked in red are above the normal range but do not indicate inflammation; simply drinking more water is sufficient.

Reply Date: 2019/02/02

More Info


Understanding urine test results can be quite complex, especially when you encounter abnormal findings. In your case, you have provided a detailed account of your urine test results, and I will help you interpret these findings, particularly focusing on the abnormal results marked in red.

1. Urine Epithelial Cells (30-49): The presence of epithelial cells in urine is not uncommon, as they can shed from the lining of the urinary tract. However, a count of 30-49 cells per high power field (HPF) is considered elevated. This could indicate irritation or inflammation in the urinary tract, possibly due to a urinary tract infection (UTI) or other underlying conditions. Given your recent history of urinary tract inflammation, this finding could suggest that the inflammation has not fully resolved or that there is a new issue.

2. Mucus (+): The presence of mucus in urine can be a normal finding, as mucus is produced by the lining of the urinary tract. However, excessive mucus can indicate irritation or inflammation. In your case, since it is marked as positive, it may correlate with the elevated epithelial cells, suggesting some degree of irritation in the urinary tract.

3. Foamy Urine: You mentioned experiencing foamy urine intermittently. Foamy urine can be caused by various factors, including the presence of protein in the urine, which can occur in conditions like nephrotic syndrome or kidney disease. However, it can also be due to dehydration or rapid urination. Since your urine test results show negative for protein, this may not be the primary concern, but it is worth monitoring.

4. Recent Childbirth: Given that you have recently given birth, hormonal changes and physical stress can also affect your urinary system. Postpartum changes can lead to temporary urinary symptoms, including changes in urine appearance and frequency.

5. High Triglycerides and Cholesterol: Your lipid profile indicates elevated triglycerides (293 mg/dL) and total cholesterol (262 mg/dL), with low-density lipoprotein (LDL) also elevated (153 mg/dL). These findings suggest a risk for cardiovascular disease and warrant lifestyle modifications, including dietary changes, increased physical activity, and possibly medication depending on your overall health and risk factors.


Recommendations:
- Follow-Up with a Healthcare Provider: Given the elevated epithelial cells and mucus, it would be prudent to follow up with your healthcare provider. They may recommend further testing, such as a urine culture, to rule out a urinary tract infection or other conditions.

- Monitor Symptoms: Keep track of any symptoms you experience, such as changes in urination, pain, or discomfort. If you notice worsening symptoms or new symptoms, seek medical attention promptly.

- Lifestyle Modifications: For your elevated lipid levels, consider consulting a nutritionist or your healthcare provider for guidance on dietary changes that can help lower your cholesterol and triglycerides. Regular exercise and maintaining a healthy weight are also crucial.

In conclusion, while some of your urine test results are concerning, they need to be interpreted in the context of your overall health and symptoms. It is essential to maintain open communication with your healthcare provider to address these findings effectively.

Similar Q&A

Understanding Urinalysis Results: What Do Abnormal Findings Mean?

On August 27, the report showed the following abnormal results: urine protein (+,-), urine ketones (+++), hematuria (+,-), and urine leukocytes 4-6. I am a 17-year-old male, 177 cm tall and weighing 65 kg. Two weeks ago, I had a urinalysis at Shutian that also showed hematuria (+...


Dr. Xu Weikai reply Urology
Hello, the previous urine test showed some issues that require further examination for clarification. Insufficient water intake, excessive consumption of beverages, or a high-salt diet can potentially lead to kidney disease. Nephritis may require further observation and specializ...

[Read More] Understanding Urinalysis Results: What Do Abnormal Findings Mean?


Understanding Abnormal Urinalysis Results: What They Mean for Your Health

I recently had a health check-up, and there were several abnormal findings in my urine report. I would like the physician to clarify the following: (1) My specific gravity was 1.031, which is elevated, as the reference range is 1.015 to 1.030. (2) The qualitative protein test sho...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your questions, three issues were raised: First, the elevated urine specific gravity may be caused by urine concentration; second, the presence of a positive protein reaction could indicate kidney disease or a transient response during a urinary tract infect...

[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health


Understanding Abnormal Urinalysis Results: What They Mean for Your Health

Hello Doctor: Recently, the employee health check report was released, and there were some red flags in the report. I would like to inquire about the possible issues related to the following items/test values/units/reference: - Epith. (Sediment): 20-29/HPF / 0-5 - WBC (Sediment)...


Dr. Ye Qianyu reply Family Medicine
Hello! Based on your description, the urine test needs to be rechecked. Please return for a follow-up appointment one week after your menstrual period ends, and collect a midstream urine sample for testing, as this will minimize the impact on the results. Regarding the blood test...

[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health


What to Do If Your Urinalysis Shows Abnormal Results?

In the health check report, the urine test results show the following abnormalities highlighted in red for the first time: PRO (protein) is +, OB (urine occult blood) is 3+, BIL (urine bilirubin) is +, and WBC (white blood cells) is 3+. All other results are normal. What further ...


Dr. Yang Jun reply Internal Medicine
Hello: In response to your question, the urinalysis indicated the presence of proteinuria, hematuria, and pyuria, which may be caused by hemorrhagic cystitis due to a lower urinary tract infection. If there are no symptoms of fever or flank pain, it suggests that the infection ha...

[Read More] What to Do If Your Urinalysis Shows Abnormal Results?


Related FAQ

Urine Test

(Urology)

Urine Occult Blood

(Urology)

Nocturia

(Urology)

Holding Urine

(Urology)

Std Testing

(Urology)

Urinary Discharge

(Urology)

Cystoscopy

(Urology)

Urine

(Internal Medicine)

Benign Prostatic Hyperplasia

(Urology)

Urine Report

(Family Medicine)