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.
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