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 ... Read Full Answer
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 ... Read Full Answer
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 ... Read Full 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
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 ... Read Full Answer
Can I give Cypon to my 2 yrs daughter. She has less eating habits and have digestion problem. Her stool test says it is semi digested, dark brown, having pus cells about 3(number is 3 but I do not know the unit of measurement) and acidic in nature. Therefore, frequently have loose motion.
Doctor's Answer
Hi,
You don't have to give cypon to a two year old kid,please if her report is showing this semi digested food then please visit a paediatrician as soon as possible. ... Read Full Answer