What do the presence of pus cells and RBCs in urine indicate?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
Patient is suffering from fever, headache, pain while passing urine, and foul smell in urine. He had a complete urine test. Pus cells, leukocytes, and RBCs are present in urine. He has been taking Augmentin 625 mg and Dolo 650 for the past three days.
Hi,
Welcome to icliniq.com.
I have seen the reports sent by you (attachment removed to protect patient identity). The patient is suffering from a severe urinary tract infection. Also, the urine examination shows glucose in urine. So, diabetes is not under control, or the patient does not know that he has diabetes. The patient should get tested for diabetes and bring it under control as soon as possible, and without that, the urine infection will not clear. Regarding urine infection, the patient is already started on antibiotics. So, please continue the same. If your fever does not subside, then we need to change the antibiotics, or the patient might require hospital admission for intravenous antibiotics.
Patient's Query
Hi doctor,
Thanks for your reply.
Yes, my father is a diabetic from the past 25 years. The blood sugar is very much under control and glucose in urine was also absent until the day the infection occurred. It has been three days since we started these medicines and now he is not feeling pain while urinating and the foul smell has also gone. But, his fever has not subsided yet. Every 6 hours it spikes up to 101 to 102 degree Fahrenheit, and he is getting body pains when the temperature goes high.
Hi,
Welcome back to icliniq.com.
If the pain is subsided, then he is improving. Also, if the fever does not get controlled in a day or two, then antibiotics need to be changed. If possible get CBC (complete blood count), serum creatinine and HbA1c to check the severity of the infection and sugar levels.
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