Why do I have an abnormal WBC count?

Hello,

Welcome to icliniq.com.

I understand your concern. I saw the attached files (attachments removed to protect the patient's identity).

1) Your red Blood Cell (RBC) indices are normal.

2) You have a WBC (white blood cells) count very slightly above than upper limit.

3) Differential leucocyte Count (DLC) is normal.

4) Lipid Profile: Normal.

5) The value of GPT (glutamate-pyruvate transaminase) is highlighted as high in your report.

6) Liver Function Test (LFT): All liver enzymes are within the normal limit. Still, SGPT (Serum glutamic pyruvic transaminase) range is between 7 to 56 units per liter (U/L) of blood serum. There is nothing to worry about this value.

7) Thyroid Function Test (TFT): TSH (tyroid stimulating hormone) is normal.

8) Urinalysis: Most parameters are normal.

You have increased amorphous urates in the urine sample. Generally, amorphous urates are of little clinical significance. The formation of such crystals can be caused by a combination of factors, including a diet rich in meat, decreased urine volume, or a condition that acidifies the urine, such as chronic diarrhea. You need to drink a lot of water. Maintain adequate hydration. There is a presence of few bacteria in the sample. Do you have any symptoms of urinary tract infections (UTIs) like burning micturition (the action of urinating), any fever, etc.? You do not need to worry about anything like the cancer you mentioned in the query. Please reply to the above question so I can guide you properly.

Hope you find my reply helpful.

Thank you.

Hello,

Welcome back to icliniq.com.

Normally, less than 2 RBCs/HPF (red blood cells per high power feild) are observed in urine, and your test is within the limit. Consumption of lots of protein mass gainers in last week could be the reason for urate crystals; however, maintain adequate hydration and take the protein mass powder in the recommended amount. You mentioned no UTI symptoms and normal WBC count in microscopic examination. So it is asymptomatic bacteriuria, and treatment is not clinically beneficial. I would suggest repeating the urine examination test after around two weeks to analyze RBC.

Thank you.

Hello,

Welcome back to icliniq.com.

Usually, healthy individuals excrete less than 150 mg/day of total protein, which means protein comes in the urine. Still, the amount in the 24-hour collection is less than 150 mg. According to your urine test reports (attachments removed to protect the patient's identity), your protein value is 25 mg/dl in the urine test.

Hematuria means blood in the urine. Dipstick test shows trace proteinuria. One reason for the positive test could be the high intake of protein mass gainers you have been taking since last week before doing the test. The same reason might be for positive ketone bodies in the urine. Hematuria is confirmed when urine dipstick (biochemical examination) is positive for blood and urine microscopy is positive for RBCs. Still, the biochemical report is positive in your case, but the microscopic examination is negative. Now positive dipstick test could be a false positive. False positives may be seen with alkaline urine pH >9, semen in the urine, and urine contaminated with oxidizing agents used to cleanse the perineum. Here shower gel might be an oxidizing agent (I am not sure) causing a false positive.

I suggest you stop taking protein mass gainers and redo the urinalysis (biochemical and microscopic examinations) after one week.

Coming to your anxiety about bladder cancer. Your age is mentioned as 26 years in the query. Usually, bladder cancer occurs in older adults abpve 55 years, various risk factors are involved, and patients complain of blood in the urine, pain, urgent, frequent micturition, pain in the abdominal area, generalized symptoms like fatigue, weight loss, etc. You do not have any such features mentioned above.

Please send the report after you redo the test to assess your condition better.

Also, get a medical opinion from your treating doctor. I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

Losing 0.5 kg per day is a challenging task that would require drastically limiting your food intake and increasing your physical activity to create a calorie deficit. Something would be wrong with your weighing machine. And may I ask why you would measure weight after waking up every morning? If you want to reduce your weight, experts generally recommend losing around (0.5 kg to 0.9 kg) per week through a low-calorie diet and regular physical activity. I hope this helps. I have already explained the urine test and suggested what should be done and redo the test after one week. I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

It is not normal to lose around 300 to 500 grams overnight while sleeping eight hours plus. Otherwise, weight loss management would be an easy process. That is why I mentioned that losing 0.5 kg per day is a challenging task that would require drastically limiting your food intake and increasing your physical activity to create a calorie deficit. I would suggest you maintain adequate hydration all the time. One should retain fluid intake around 3.5 to 4 liters a day, including water, fruit juices, vegetables, milk, etc. And depending upon other factors like exercise, environment, health conditions (vomiting, diarrhea, etc.), one might need to modify total fluid intake. Hope now my reply is clear to understand.

Thank you.

Hello,

Welcome back to icliniq.com.

You have maintained your weight around 85 kg to 86 kg for the last five years. It is a sign of good physical health. As you mentioned, multiple sources claim such a fact, but I am not aware of whether it is medically correct. I will also look into it. Anyways you have good physical health. Continue such a diet plan and maintain a balanced body weight.

Thank you.