What causes proteins, WBCs, and epithelial cells in urine?

Question

Hi doctor,

My partner is 48 years old, and her weight is 65 kilograms. She has RBC of 5.6 mcL, Hb of 15.3 g/dL, and creatinine of 0.9 mg/dL. The urine report shows white cells of 60 to 80 WBCs per high power field. There are traces of proteins, leucocytes, and epithelial cells also.

Answer 1

Hi,

Welcome to icliniq.com.

Your partner has urinary tract infection. She needs to do a urine culture and sensitivity. Meanwhile, get examined by a gynecologist to know the local source of infection. If she is symptomatic, with fever or burning micturition, then she needs to take a course of antibiotics.

Answer 2

Hi,

Welcome back to icliniq.com.

RBC count up to 5.4 million mcL is normal for women. The present value is just above the normal range. A hemoglobin level is more important than an RBC count. If the hemoglobin is more than 16.5 g/dL, your partner will require further evaluation. Present values are not of much concern. You can do serum erythropoietin level, hemoglobin HPLC electrophoresis test, and JAK2 V617F mutation testing.