Abnormal Urinary Test Results: Blood, WBC, and Lymphocytes - Urology

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Understanding abnormal urinary test results, particularly concerning blood, white blood cells (WBC), and lymphocytes, is crucial for diagnosing potential underlying health issues. Let's break down the components of your inquiry regarding the results you've received.

1. OB (Occult Blood) Result (+-): The presence of occult blood in urine indicates that there may be blood that is not visible to the naked eye. A result of (+-) suggests a low level of blood detected. This could be due to various reasons, including urinary tract infections (UTIs), kidney stones, or even more serious conditions like tumors or glomerulonephritis. It is essential to follow up on this finding, especially if you experience any symptoms such as pain, changes in urination, or if the result persists in future tests.

2. Urine Sediment: WBC (6-8): The presence of white blood cells in urine can indicate inflammation or infection in the urinary tract. Your result of 6-8 WBCs per high power field (HPF) is at the upper limit of normal for females (0-8), suggesting a possible mild inflammatory response. This could be due to a UTI or other inflammatory conditions affecting the urinary system. If you have no symptoms, it may warrant monitoring, but if symptoms arise, further investigation would be necessary.

3. Lymphocyte Count (45.00): A lymphocyte count that exceeds the normal range (typically around 20-40% of total white blood cells) can indicate a variety of conditions, including viral infections, chronic inflammatory conditions, or even certain types of leukemia. The elevated lymphocyte count may not be directly related to your urinary findings but could suggest an ongoing immune response in your body.


Potential Connections and Next Steps
While the elevated lymphocyte count and the urinary findings may not be directly linked, they could indicate an underlying systemic issue. For example, if there is an infection present, it could elevate both lymphocyte and WBC counts as part of the immune response.

Recommended Follow-Up
Given these findings, it is advisable to consult with a healthcare provider, preferably a urologist or nephrologist, who can perform a comprehensive evaluation. Here are some steps you might consider:
- Repeat Urinalysis: A follow-up urinalysis can help determine if the presence of blood and WBCs persists.

- Urine Culture: If a UTI is suspected, a urine culture can identify the specific bacteria causing the infection and guide treatment.

- Imaging Studies: Depending on your symptoms and the results of the urinalysis, imaging studies such as an ultrasound or CT scan may be warranted to assess for kidney stones, tumors, or other abnormalities.

- Blood Tests: Additional blood tests may be necessary to evaluate kidney function, liver function, and to check for any signs of systemic infection or inflammation.


Conclusion
In summary, while your urinary test results indicate some abnormalities, they should be interpreted in the context of your overall health and any symptoms you may be experiencing. It is crucial to follow up with a healthcare provider to ensure that any potential issues are addressed promptly. Regular monitoring and appropriate diagnostic tests will help clarify the situation and guide any necessary treatment. Always remember that early detection and intervention can significantly improve outcomes in many health conditions.