Question 1

Can a urine dysmorphic RBC test really tell if the blood in my urine is coming from my kidneys or the urethra? I had results showing 1012 cellshpf in my urine, but when I did the test again 4 days later, it dropped to 12 cellshpf. Does this mean it was a false reading, or could the sample have been off? I'm a bit confused about what to make of these results.

Accepted Answer

Yes ideally Dysmorphic RBCs indicate renal problem,but in your case as it is an incidental finding for once and is not continuing you can ignore it,if you are woried visit Nephrologist for evaluation and appropriate management

Question 2

I'm really worried about my daughter's health. She was born with just one kidney, and even though shes been sticking to strict diet and lifestyle changes, her creatinine levels are still going up. It's now at 2.3. Plus, she's dealing with high blood pressure. Currently, she's on Olmezest 40, Moxovas 0.3, and Folvite. What can we do to help manage her increasing creatinine levels and high BP? Looking for any advice or steps we can take.

Accepted Answer

Persistent symptoms despite treatment_:

1. _Inadequate treatment duration_: 2 months might not be sufficient to fully address your condition.
2. _Insufficient medication dosage_: Rabeprazole and domperidone dosages might need adjustment.
3. _Underlying conditions_: H. pylori infection, gastroesophageal reflux disease (GERD), or other conditions might require alternative treatments.

_New symptom: Soreness on the back of the throat_:

1. _Reflux-related symptom_: Stomach acid reflux can cause throat irritation.
2. _Postnasal drip_: Mucus accumulation can cause throat soreness.

_H. pylori treatment_:

1. _Not untreatable_: H. pylori infections can be treated with antibiotics and acid reducers.
2. _Treatment challenges_: Antibiotic resistance, inadequate treatment duration, or insufficient medication dosages can make treatment difficult.

Question 3

In my urine test, they found RBC 2530 hpf and Ive been having a really high fever ranging from 102 to 103.4 along with a terrible headache at the back of my head. Do you think the fever is causing the RBC in the urine or is it the other way around? Ive already seen two doctors. One asked for all blood and urine tests and the other suggested another urine test. Im currently taking Switch 200, Aceclofenac, and Paracitamol Alock P as prescribed, but Im still waiting for the results of the second urine test because of the holidays. Its been 5 days now and the fever just keeps coming back as soon as the meds wear off. Even the Paracetamol isnt really helping with the headache. Ibugesic Plus helps a bit, but only for about 5 hours. Nothing seems to work, any thoughts on what could be happening here?

Accepted Answer

Could indicate a possible urinary tract infection (UTI) or kidney infection. The fever is likely not directly caused by the RBC in your urine, but rather both symptoms may be due to an underlying infection. Since your symptoms are persisting and the fever returns when the effect of the medicine wears off, it is important to follow up with your healthcare provider for further evaluation and management. If the current treatment is not providing adequate relief, your doctor may need to reassess your condition and consider adjusting your medication regimen or ordering additional tests. It is crucial to complete the prescribed course of antibiotics and continue taking the medications as directed until you receive further guidance from your healthcare provider. In the meantime, make sure to stay well-hydrated, get plenty of rest, and monitor your symptoms closely. If your fever persists or worsens, seek medical attention promptly.

I'm kind of worried about my recent lab results. My creatinine level is 1.5, and the 24-hour urine protein is at 416 mg. The DMSA scan also showed some renal parenchymal dysfunction with cortical scars. Should I be concerned about these numbers, and what do they actually mean for my kidney health?

More Nephrology Health Queries

Health Articles for you

Kidney Transplant Donor Age Limit

Kidney Function Test Information

Blood in Urine: When to Worry About Kidney Cancer

Understanding Cirrhosis and Cancer Differences

Guide to Beer For Kidney Stones