i need probable reason and its
  i need probable reason and its

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i need probable reason and its remedy w.r.t PUS cells 12-15 HPF,Epithelical cells 2-4 HPF & RBC 12-14 HPF ,Granular occasional & mucus thread present in urine R/E test of my 4 year old daughter

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1 Answers

Patient asked followup Question: 12 years ago

what should be immediate medication required and also any further test required for more detailed info

Patient asked followup Question: 12 years ago

this problem is persisting since last 10 days , hence i need specialised advice urgently

Hi,

As you told me about the urine report, I would like to tell you that plenty of pus cells indicate that there is some active infection in her urinary tract. It is difficult to provide any treatment in this condition without knowing about the cause and to know about the cause there are a few things I would like to know

1. Have you noticed any fever ?
2. Do you see any swelling of abdomen ?
3. Colour of urine and any increase in frequency ?
4. Does she cry while passing urine ?

It can have multiple cause. It might be a simple urinary tract infection (UTI) or stone .Even a simple UTI in a child should not be left alone as it causes serious problem in future. Otherwise also, UTI are a little more common in a female child compared to a male child.

To know further here are some of the investigations

1. USG abdomen (KUB)
2. Urine culture (to know about the exact micro-organism) and its sensitivity
3. Urine Creatinine

And for now give her as much water as she accepts that might help her rest. You might also try with a little hot sponging over her abdominal area if she has pain over abdomen.

Fell free to ask any other questions.

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Matching Already Answered Queries

i need probable reason and its remedy w.r.t PUS cells 12-15 HPF,Epithelical cells 2-4 HPF & RBC 12-14 HPF ,Granular occasional & mucus thread present in urine R/E test of my 4 year old daughter

  Doctor's Answer

Hi, As you told me about the urine report, I would like to tell you that plenty of pus cells indicate that there is some active infection in her urinary tract. It is difficult to provide any treatment in this condition without knowing about the cause and to know about the cause there are a few things I would like to know 1. Have you noticed any fever ? 2. Do you see any swelling of abdomen ? 3. Colour of urine and any increase in frequency ? 4. Does she cry while passing urine ? It can have ...
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Hi, I am 23 Year female. I had DNC last year in 5th month of pregnancy. I had pus cells in the first month, used anti -biotics at that time. Now, i have been confirmed pregnancy. Again i have 1-2 PUS CELLS, & ESR is HIGH. I am having dry cough also now. What could be the reason? Is it due to infections transmitted in sex with my husband? How should i take medication?

  Doctor's Answer

Hi!! 1-2 pus cells in urine is no cause for concern as if it is more than 10 pus cells/high power field,it is of consequence. Esr high can be due to the cough that you are having.ESR is a very non specific indicator of infection in the body and can be raised even in normal pregnancy No need for antibiotics for the dry cough,you can take lozenges uptil 2 a day or antihistaminics like avil, which is safe in pregnancy,if the cough is irritating to the extent that it is disturbing your sleep or othe ...
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in jan end there was unprotected sex on 03 april i felt burning sensation on my penis ,on 04 april i was diagnosed for uti by surgeon as there was 1-2 pus cell in my urine and prescribed with antibiotic for a week. it did not give me relief i refered to a urologist and told him everything, he has diagnosed me for prostattitus after physical examination and my semen culture showed no growth,but pus cells 4-6hpf the urologist said there is no STI . he has prescribed me the foll doxy 100mg twice daily for 15 days lenoflox 500 once daily for 4 weeks t.alfoo 10mg one daily for 3 months it has been 15 days since i am having the med but the burning sensation comes often on the right bottom of the head of my penis with no other symptom .what can be the possible reason there is no discharge/rashes on my genitals only this burning sensation pl tell me if i need to show to some other urologist or is it that i have an std which the urologist could not diagnose if so then whom should i consult and what all test of std should i conduct .the urologist has said that i do not require any STD test as i have simple prostatits but the fear of std is troubling me or do i need to consult a pshycatrist pl help

  Doctor's Answer

Hi, The medicines you are having are fine and have to be taken for 15 more days and you may feel further better. I might have liked to give some other medicines,but then the doctor might have noticed something on your examination to give you this medicine. You can get tested for hiv for safety sake and your concern. Is there any smell in urine ? prostatitis is difficult to comment without examining you.But it may be possible that you are having acute bacterial prostatitis and treatment for acut ...
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1. My grand daughter 2 yrs of age having severe lose motion or diarrhea for the last 4 days and passing watery yellowish stool every 5 to 10 minutes. Had slight temperature max 101.5 Deg F, for the first two days. Now there is no temperature. 2. She is being hydrated and has been passing urine occasionally. She is 11kg by weight. 3. Urine and stool tests have been carried out. There is no infection. 4. Urine : Albumin- Trace, Ketone Bodies-Present +, Red Bllod Cells-Absent, Puss Cell-4-5/HPF, Epithelial Cells-2-3/HPF 5. Stool: reducing substances- Present +, Puss cells – 2-3/HPF, Epithelial cells-Occasional. (Oval Cysts not seen) 6. Local doctor says she will be all right but her watery stool continues unabated and we are extremely worried. She is losing her body weight and becoming cranky. Her skin around anus has become swollen & reddish. 7. She has been put on liquid O2 Suspension from today (Ofloxacin and Orindazole) 8. Please let us know: a. How can we stop the lose motion of such high frequency. b. Is O2 has some side effect? Do you suggest any other medicine c. Is it normal that such watery stool can continue for such log time? d. Please advice what should be done now.

  Doctor's Answer

Thanks for your query Since your granddaughter is having such high frequency of loose motions,she may become dehydrated anytime,so please take her to a health facility and get her examined.She might need admission and fluid drip.Till the time being please give her ORS solutions to drink 100 ml after each loose stool.She is having reducing substances in her stools which suggest she is having osmotic diarrhoea most likely due to lactose intolerance so avoid milk in her diet till she recovers.Stoo ...
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Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

  Doctor's Answer

Hi, I am not sure,your doctor must have examined you so he can might be telling better,but i belive you should have complet liver tests including pt aptt and coagulation profile and billirubin levels and also repeat the tests you already have. Although yellow eyes can also be due to mddy sclera,some people have muddy sclera. Your tsh is also raised so he might be telling you for some test or may be you could be directly be put on medicines for this. Time taken is different for diffirent person ...
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in jan end there was unprotected sex on 03 april i felt burning sensation on my penis ,on 04 april i was diagnosed for uti by surgeon as there was 1-2 pus cell in my urine and prescribed with antibiotic for a week. it did not give me relief i refered to a urologist and told him everything, he has diagnosed me for prostattitus after physical examination and my semen culture showed no growth,but pus cells 4-6hpf the urologist said there is no STI . he has prescribed me the foll doxy 100mg twice daily for 15 days lenoflox 500 once daily for 4 weeks t.alfoo 10mg one daily for 3 months it has been 15 days since i am having the med but the burning sensation comes often on the right bottom of the head of my penis with no other symptom .what can be the possible reason there is no discharge/rashes on my genitals only this burning sensation pl tell me if i need to show to some other urologist or is it that i have an std which the urologist could not diagnose if so then whom should i consult and what all test of std should i conduct .the urologist has said that i do not require any STD test as i have simple prostatits but the fear of std is troubling me or do i need to consult a pshycatrist pl help
3 Answers
1. My grand daughter 2 yrs of age having severe lose motion or diarrhea for the last 4 days and passing watery yellowish stool every 5 to 10 minutes. Had slight temperature max 101.5 Deg F, for the first two days. Now there is no temperature. 2. She is being hydrated and has been passing urine occasionally. She is 11kg by weight. 3. Urine and stool tests have been carried out. There is no infection. 4. Urine : Albumin- Trace, Ketone Bodies-Present +, Red Bllod Cells-Absent, Puss Cell-4-5/HPF, Epithelial Cells-2-3/HPF 5. Stool: reducing substances- Present +, Puss cells – 2-3/HPF, Epithelial cells-Occasional. (Oval Cysts not seen) 6. Local doctor says she will be all right but her watery stool continues unabated and we are extremely worried. She is losing her body weight and becoming cranky. Her skin around anus has become swollen & reddish. 7. She has been put on liquid O2 Suspension from today (Ofloxacin and Orindazole) 8. Please let us know: a. How can we stop the lose motion of such high frequency. b. Is O2 has some side effect? Do you suggest any other medicine c. Is it normal that such watery stool can continue for such log time? d. Please advice what should be done now.
1 Answer
Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das
1 Answer