Patient: I am 62 years old. Female. Recently had a urine analysis done. The test results said:leukocytes were 250 and protein was .3In March of last year leukocytes were “trace.” and protein was “neg” What does this mean?I don’t know if this makes a difference but I drink very little water and don’t go and urinate as often as I should when I am busy at work. I have not been sexually active for the past few years. I don’t seem to have any symptoms. As I mentioned I cannot see my doctor for 10 days and need to know if I should be worried? The leukocytes are SO HIGH;
Doctor: Hi.Thanks for your query.Read and understood your history and concerns.The most probable reasons for the change in the urinalysis are:- Holding urine for too much time allows the urine to stay for a longer time in the urinary bladder and allows the infection and ultimately Leukocytes/White blood cells to increase.- Overall infection in the urinary tract can lead to these findings.- Other causes like blockage in the urinary tract and so on.- Reduced fluid intake accentuates the problem.The increase in leukocytes itself can raise the urine protein levels or can be an effect of a kidney infection.I would advise you the following in such a situation:First of all to give urine sample in a sterile container for culture and sensitivity before starting any antibiotic to get a proper reports.Clinical evaluation and examination by an Urologist.Ultrasonography of the whole abdomen, particularly for the genitourinary system.Tests of blood: routine, sugar, urea and creatinine as as needed after a clinical examination.Antibiotics till you get a complete cure.Increase the fluid intake and to pass urine at least 4-5 times a day and never to hold urine back.Rest of the treatment as per the reports and clinical evaluation.Till you see a Doctor you may please increase your fluid intake and re-tests urine after 3 days; if possible consult another Doctor to get the tests and clinical evaluation done.I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.