Abnormal Urinalysis Results: What They Mean for Your Health - Family Medicine

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Understanding abnormal urinalysis results can be crucial for identifying potential health issues. Based on the urinalysis results you provided, there are several key findings that warrant discussion.

1. Epithelial Cells (Epith. Sediment): Your result shows 20-29 epithelial cells per high power field (HPF), while the normal range is 0-5. Elevated epithelial cells in urine can indicate contamination during the sample collection, particularly if the sample was not collected midstream. However, it can also suggest inflammation or irritation in the urinary tract. Given that you mentioned the sample was difficult to collect, this could explain the elevated count.
2. White Blood Cells (WBC) in Sediment: Your WBC count is 10-19 HPF, with a normal range of 0-5. An elevated WBC count in urine typically suggests the presence of inflammation or infection, such as a urinary tract infection (UTI). The presence of WBCs can indicate that your body is responding to an infection or irritation in the urinary system.

3. Bacteria in Sediment: The presence of 2+ bacteria in your urine is significant. This finding, combined with the elevated WBC count, strongly suggests a UTI. Bacteria in the urine typically indicate that there is an infection present, especially if accompanied by symptoms such as burning during urination, increased frequency, or urgency.

4. Albumin (Dipstick): Your albumin level is 30 mg/L, which is above the normal threshold of 10 mg/L. Elevated levels of albumin in urine can indicate kidney issues, such as early signs of kidney disease or damage. It can also be a response to physical stress, such as intense exercise, which you mentioned you had done prior to the test.
5. WBC Esterase (Dipstick): A result of 3+ for WBC esterase indicates a significant presence of white blood cells, which further supports the likelihood of a UTI. WBC esterase is an enzyme released by white blood cells, and its presence in urine is a strong indicator of infection.

6. Seg (Neutrophils): Your segmented neutrophil percentage is 40.9%, which is slightly below the normal range of 41.6-74.4%. A decrease in neutrophils can occur in various conditions, including viral infections or bone marrow suppression. However, this finding should be interpreted in conjunction with other clinical information.


Recommendations:
Given these findings, it would be prudent to follow up with your healthcare provider. They may recommend:
- Repeat Urinalysis: To confirm the presence of bacteria and WBCs, especially if you are asymptomatic.

- Urine Culture: This test can identify the specific bacteria causing the infection and determine the most effective antibiotic treatment.

- Further Evaluation: If the UTI is confirmed, treatment with antibiotics will likely be necessary. If symptoms develop or worsen, immediate medical attention is advised.


Regarding Mild Scoliosis:
The mention of mild scoliosis in your X-ray report is generally not a cause for concern unless it is causing pain or functional issues. Mild scoliosis is common and often does not require treatment unless it progresses or leads to discomfort. Regular monitoring may be recommended, especially if you have a history of back pain or if there are changes in your posture.

In conclusion, your urinalysis results suggest a potential urinary tract infection, and it would be wise to consult with your healthcare provider for further evaluation and management. Monitoring your symptoms and following up on the findings will be essential for your health.