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Summary Urine Normal Values, Their Significance

October 14, 2023Lab TestsUrine Analysis

What are Urine Normal Values Summary?

Urine normal values are:

Urine substances to be checked Normal values Collection timings Significance
Physical characteristics  
  • pH
  1. 4.7 to 7.7
  2. Average = acidic 6.0
  • A random and fresh sample
  1. Urine pH never reaches 9
  2. In the case of pH 9, test the fresh sample
  • Color
  1. Variable
  2. Pale-yellow to dark amber
  • A random sample
  1. Red color urine
  2. Check for hemoglobin
  • Odor
  • Faint aromatic
  • A random sample
  1. Urine from a diabetic patient has a fruity (acetone) odor.
  • Volume
  1. Normal range = 1200 to 2000 mL
  2. Average = 1400 mL
  3. Extreme range = 600 to 3600 mL
  1. A random sample
  2. 24-hour urine sample
  1. Polyuria increased urine output
  2. Polyuria with normal BUN and creatinine.
  3. Oliguria <200 mL in adult
  • Specific gravity
  1. 1.008 to 1.030
  2. Average = 1.018
  3. 1.012 to 1.025
  4. Concentrated urine = 1.025 to 1.030+
  5. Dilute urine =1.001 to 1.010
  6. Infant <2 years = 1.001 to 1.018
  1. A Random sample
  2. 24-hour urine sample
  • Specific gravity is the measurement of the kidneys’ ability to concentrate urine.
  • Blood
  1. Negative
  • A random sample
  • It is seen in various conditions of the urinary tract
Chemical characteristics  
  • Glucose
  1. Quantitative = nil
  2. 1 to 15 mg (60 to 830 µmol/L)
  3. <0.5 g/day (<2.8 mmol/day)
  1. A random sample
  2. 24-hour urine sample
  3. 24-hour urine sample
  1. Urine glucose >1000mg/dL (>55 mmol/L)
  2. Test blood glucose
  3. Inform the physician
  • Ketones
  • Negative
  • A random sample
  1. Ketonuria indicates diabetic crises
  2. It may be seen in starvation
  • Albumin
  1. Adult male = 10 to 140 mg/L (1 to 14 mg/dL)
  2. Adult female = 30 to 100 mg/L (3 to 10 mg/dL)
  3. Child <10 years = 10 to 100 mg/L (1 to 10 mg/dL)
  1. 24-hour urine sample
  2. 24-hour urine sample
  3. 24-hour urine sample
  1. Adult = Proteinuria >2000 mg/24 hours.
  2. Child = ≥40 mg/24 hours
  3. indicate glomerular disease
  • Microalbumin
  1. <30 mg/day
  2. <20 mg/L
  1. 24-hour urine sample
  2. 10 hours of urine collection
  • Indicate diabetic nephropathy
  • Protein
  1. Qualitative =nil
  2. Quantitative = 0 to 0.1 g/24 hours
  • 24-hour urine sample
  • Indicate renal disease
  • Bicarbonate
  • Nil
  • HCO3 is estimated in the acid-base balance
  • Chloride (as NaCl)
  1. 5 to 20 g (85 to 340 meq)
  2. Average = 10 g (170 meq)
  3. Adult = 140 to 250 meq/24 hours (140 to 250 mmol/day)
  4. Child <6 years = 15 to 40 meq/24 hours (15 to 40 mmol/day)
  5. Child 10 to 14 years = 64 to 176 meq/24 hours (64 to176 mmol/day)
  6. Values vary with salt intake and perspiration.
  • 24-hour urine sample
  • It is part of the acid-base balance.
  • Creatinine
  1. Male = 14 to 26 mg/kg/body weight/day  (124 to230 µmol/kg/day)
  2. Female = 11 to 20 mg/kg/body weight/day  (97 to 177µmol/kg/day)
  • 24-hour urine sample
  • Creatine
  1. Male = 0 to 50 mg
  2. Female = 0 to 150 mg
  3. Children = 5.4 to 13.7 mg/kg/body weight
  • 24-hour urine sample
  • Cystine
  1. Random sample = negative
  2. Adult = <38 mg/day
  3. Child = 5 to 31 mg/day
  1. A random urine sample
  2. 24-hour urine sample
  3. 24-hour urine sample
  • Lysozyme
  • 0 to 3 mg/day
  • 24-hour urine sample
  • Urea
  • 10 to 35 g (average 15 g)
  • 24-hour urine sample
  • Uric acid
  1. 0.3 to 0.7 g
  2. With normal diet = 250 to 750 mg/day (1.48 to 4.43 mmol/day)
  3. With purine free diet = <400 mg/day (<2.48 mmol/day)
  4. With high purine diet = <1000 mg/day (<5.9 mmol/day)
  • 24-hour urine sample
  • Calcium
  1. 50 to 400 mg (2.5 to 20 meq)
  2. Normal diet = 100 to 300 mg/day (2.5 to 7.5 mmol/day)
  3. Low-calcium diet = 50 to 150 mg/day (1.25 to 3.75 mmol/day)
  • 24-hour urine sample
  • Magnesium
  1. 75 to 150 mg/day (3.0 to 6.0 meq/day
  2. or 3.0 to 6.0 mmol/day
  • Sodium
  1. 80 to 290 meq
  2. Adult = 40 to 220 meq/24 hours (40 to 220 mmol/day)
  3. Child = 41 to 115 meq/24 hours 41 to 115 mmol/day)
  4. Values depend upon diet
  1. 24-hour urine sample
  • Potassium
  1. 25 to 100 meq
  2. Adult = 25 to 125 meq/24 hours (25 to 125 mmol/day)
  3. Child = 10 to 60 meq/24 hours (10 to 60 mmol/day)
  4. Values depend upon diet
  1. 24-hour urine sample
  • Phosphate
  • 0.5 to 2.2 g (average 1.0 g)
  • 24-hour urine sample
  • Oxalate
  1. Men = <55 mg/day (<6.11 µmol/day)
  2. Women = <50 mg/day (<555 µmol/day)
  • 24-hour urine sample
  • Sulfates
  1. Inorganic = 0.25 to 1.25 g
  2. Total = 0.36 to 1.44 g
 24-hour urine sample
  • Bilirubin
  1. Negative
  2. May find 0 to 0.02 mg/dL (0 to 0.34 µmol/L)
  • A random sample (Check within one hour)
  1. Urine bilirubin is negative in hemolytic disease.
  2. It appears in the urine before other S/S of liver disease
  • Urobilinogen
  1. Random sample = <1 mg/dL
  2. 2 hours sample = <1 mg/2 hours
  3. 24-hour sample = 0.5 to 4.0 mg/day
  1. A random sample
  2. Collect 2 hours of a urine sample
  3. Collect 24 hours urine sample
  1. It rapidly decomposed at room temperature
  2. Also, when exposed to light
  • Ammonia
  • 10 to 105 meq
  • 24-hour urine sample
  • It is part of the acid-base balance
  • Hemoglobin
  • Negative
  • A random sample
  • It indicates extensive burns or crushing injuries
  • Myoglobin
 Negative
  • A random sample
  • Nitrite
  • Negative
  • A random sample (Fasting sample is better)
  • A negative test does not rule out bacteria in the urine
  • Leukocyte esterase
  • Negative
  • A random sample
  • The positive test needs a urine culture
  • HCG
  1. Pregnant = positive
  2. Nonpregnant = Negative
  • A random urine sample
  • It is advised in pregnancy and follow-up of tumors
  • 5-hydroxy indoleacetic acid (5-HIAA)
  1. Qualitative= negative
  2. Quantitative = 2 to 7 mg/day (11 to 37 µmol/day)
  1. A random sample
  2. 24-hour urine sample
  • It helps to diagnose carcinoid tumors
  • Vanilylmandelic acid (VMA)
  1. Adult =up to 9 mg/day (up to 45 µmol/day)
  2. Children’s values are different
  • 24-hour urine sample
  1. It is advised to diagnose pheochromocytoma
  2. It is raised in neuroblastoma
  • Catecholamines
  1. Catecholamine total = <1000 µg/day (<591 nmol/day)
  2. Epinephrine = 0 to 20 µg/day (0 to 109 nmol/day)
  3. Metanephrine = 74 to 297 µg/day (375 to 1506 nmol/day)
  4. Norepinephrine = 15 to 80 µg/day (89 to 473 nmol/day)
  5. Normetanephrine = 105 to 354 µg/day (573 to 1933 nmol/day)
  6. Dopamine = 65 to 400 µg/day (420 to 2612 nmol/day)
  7. Children’s values are different
  • 24-hour urine sample
  1. These are advised in pheochromocytoma
  2. Other tumors produce catecholamines.
  • Porphyrins
  • Qualitative = Negative
  • A random urine sample
  • It diagnoses porphyrias, lead poisoning, liver diseases, pellagra, and Hodgkin’s lymphoma.
  • Porphobilinogen
  1. Random sample = 0 to 20 mg/L (negative or 0 to 8.8 µmol/L)
  2. 0 to 1.5 mg/day (0 to 6.6 mg/day)

 
  1. A random urine sample
  2. 24-hour urine sample
  • It diagnoses diseases like porphyrins.
  • Amylase
  1. 2 hours sample = 2 to 34 U (or 16 to 283 nkat/hours)
  2. 24 to 408 U ( or 400 to 6800 nkat/day)
  1. 2 hours urine sample
  2. 24-hour urine sample
  • It is increased in acute pancreatitis, mumps, or trauma to the pancreas
  • It is increased in pancreatic cancers,
  • Phenylketonuria
  1. Random  = Negative dipstick
  2. Phenylalanine = Positive in the range of 5 to 10 mg/dL (302 to 605 µmol/day)
  3. 7 to 10 weeks after birth = 1.2 to 1.7 mg/day
  4. Adult = <16.5 mg/day (<100 µmol/day)
  5. Children (3 to 12 years) = 4.0 to 17.5 mg/day (24 to 106 µmol/day)
  1. A random urine sample
  2. 24-hour urine sample
  3. 24-hour urine sample
  4. 24-hour urine sample
  5. 24-hour urine sample
Microscopic characteristics  
  • RBCs
  1. 0 to 3 RBCs/HPF
  2. 0/Low power field
  • A random sample
  • The persistent presence of RBCs in the urine needs thorough investigations
  • RBC cast
  • 0/HPF
  • A random sample
  • Indicates hemorrhage in the nephron
  • WBCs
  1. 0 to 4/HPF
  2. Female = slightly more
  • A random sample
  • Urine culture should be done when increased WBCs are found
  • WBC cast
  • Negative
  • A random urine sample
  • Seen in renal inflammatory diseases
  • Epithelial cells
  1. Renal tubular cells= 0 to 3/HPF
  2. Squamous cells = Commonly seen
  • A random sample
  • Hyaline cast
  • Occasional 0 to 2/HPF
  • A random sample
  • Usually seen when there is damage to the glomerular capillary membrane
  • Granular cast
  • Occasional 0 to 2/HPF
  • A random sample
  • These indicate renal disease
  • Waxy cast
  • Negative
  • A random sample
  • In renal failure (severe renal disease)
  • Fatty cast
  • Negative
  • A random urine sample
  • Seen in diabetic nephropathy
  • Trichomonas vaginalis
  • Absent
  • A random urine sample
  • UTI due to Trichomonas vaginalis
  • Yeast cell
  • Absent
  • A random urine sample
  • Genitourinary infection
Urine normal values: Summary of the urine analysis

Urine normal values: Summary of the urine analysis

Questions and answers:

Q1: What is the significance of a waxy cast?

Q2: Is there any significance of the amylase in the urine?

Possible References Used
Go Back to Lab Tests

Comments

Guruprasad Panamalai Reply
August 9, 2022

Respected Doctor sahab,

Recently my sister’s 90 years old mother in law had a urine test.

Following is an excerpt from her urine test report:

“Urine r/e – sugar trace, 1 – 2 epi cells, 2 – 4 WBC, occ RBC. Urine culture: No growth”.

Instead of mentioning the number of RBC, the hospital has mentioned “occ RBC” .

1. What does “occ RBC” mean?
2. How many RBC is meant by “occ RBC”?
3. Does it indicate any serious condition?

I would be grateful if you kindly let me know.

Best regards.

Dr. Riaz Reply
August 9, 2022

Occasional RBC is normal. WBC 2 to 4, Epithelial cells 1 to 2 are normal. Sugar trace needs workup to rule out diabetes mellitus. There is no need to worry about RBC, WBC, and epithelial cells.

HOORUN Ein Sangkupan Reply
October 12, 2023

PUS CELL:4-6
BACTERIA: RARE
25 YEARS OLD AND 14 WEEKS PREGGY

Dr. Riaz Reply
October 12, 2023

Please repeat urine after 2 weeks. These pus cells are in normal range.

Amz Mathew Reply
December 11, 2022

Dear Doctor Sir,
Hope you are doing good, recently my mother was diagnosed with diabetes, in her urine examination report it says a few things I want to clarify that:

Urine MICROSCOPIC EXAMINATION
1. Pus cells : 0 – 2 /HPF; is it normal or something to worry?
2. Red Blood Cells : Absent /HPF; HPF is normal or something alarming?
3. SUGAR : Present 1.0 %.

Is it expected that a person with diabetes has glucose/ sugar present in their urine?

Dr. Riaz Reply
December 12, 2022

WBC 0 t0 2 are normal. Mostly RBCs are absent in the urine. Only urine sugar is abnormal, and it appears in the urine when the blood sugar level is above 180 mg/dL. As a rule, urine should be negative for sugar. So you can control Diabetes mellitus by checking the urine sugar, which should always be negative.

Marvin A Claro Reply
February 22, 2023

GoodMorning sir can i ask what is my case. I had a resut of plus2 in Blood and my RBC is 0-2 and WBC is 0-2 may i ask if there is a problem? I already undergo urine culture but they found nothing on my Urine

Dr. Riaz Reply
February 22, 2023

I think your urine findings are normal unless you have any symptoms. Just drink at least 6 to 8 glasses of water for a few days. That is best if you drink water in the morning on an empty stomach.

Terry Zack Reply
March 27, 2023

Dear DR Riaz,
I recently had a Urinalyses test and my WBC was 6-10/HPF w/ WBC clumps present,
with a Urine culture of no growth in one day. Everything else is Negative.
Should I seek further Medical Advise.

Dr. Riaz Reply
March 27, 2023

In females, WBCs are more than in males. But clumps of WBCs indicate infection. You need to repeat urine analysis and culture. Do you have any symptoms like burning micturition?

Terry Zack Reply
March 27, 2023

Dr Riaz,
No burning or trouble urinating. No aches or pains in back. I’m a 70 year old Male, having Lazer therapy for a bad case of toe nail fungus and just had STREP
throat two weeks ago. Do you think this has a bearing on the WBC Thanks,,,

Yakubu Nana Fatimah Reply
March 30, 2023

I am pregnant and I undergo a urinalysis test and the results says blood positive 1, ketones positive 1 and protein

Dr. Riaz Reply
March 30, 2023

Ketone indicates that you are not eating properly or vomiting. First, you improve your food and then check your urine again.

Kritika Mridha Reply
April 11, 2023

Dear Doctor Sir,
My sister’s age is 1 year and 5 months. Urine Routine Examination is done . The result is
Chemical Examination:
Urine for Specific Gravity >=1.030
Reaction(pH) 5.500
Albumin Nil
Sugar Nil
Phosphate Nil
Bilirubin Nil
Urobilinogen Absent
Nitrite Nil
ketone Nil
Microscope Examination :
Epithelial Cells 2-4 /HPF
RBC Nil /HPF
Pus Cells 2-4 /HPF
cellular Cast Nil /LPF
Granular Casts Nil /LPF
Hyaline casts Nil /LPF
Calcium Oxalate Nil
Triple Phosphate Nil
Uric Acid Nil
Amorphous phosphate Nil
Urates Nil
Is this Ok?

Dr. Riaz Reply
April 11, 2023

The urine looks normal.

Horain Reply
April 18, 2023

A.o.A sir
My brothers age is 28
For about 4 months he is facing a problem. When he urinates the colour of urine is dark brown like coke but once in a month. Plz can you tell me the reason.

Dr. Riaz Reply
April 18, 2023

Most likely, hemoglobin is giving the color. But he needs to work up for hemoglobinuria. That is abnormal. Please consult a good physician to find the cause of hemoglobinuria.

Horain Reply
April 18, 2023

Hemoglobin level in his test is ** traces

RASHEED Reply
April 25, 2023

GOOD EVENING DOCTOR
MY RBC IS GIVEN 10-12/HPF
PUS CELLS 2-3 HPF
EPITHELIAL CELLS 1-2
CALCIUM OXALATE CRYSTALS 18/20HPF
pLEASE GIVE ME THE ANALYSIS REPORT

RASHEED Reply
April 25, 2023

GOOD EVENING DOCTOR

MY RBC IS GIVEN 10-12/HPF
PUS CELLS 2-3 HPF
EPITHELIAL CELLS 1-2/HPF
CALCIUM OXALATE CRYSTALS 18-20/HPF
pLEASE GIVE ME THE ANALYSIS REPORT

Dr. Riaz Reply
April 25, 2023

This urine report only shows increased RBCs 10 to 12/HPF. This may be due to calcium oxalate crystalluria. Please drink more water, mainly empty stomach, at least 2 to 3 glasses. Then repeat urine after 2 to 3 weeks.

Cary Reply
May 15, 2023

Hello. 56 year old male. I’ve been having abdominal pain recently (below navel) and have been treated for prostatitis over the past 2 years (several rounds of antibiotics, tamsulosin most of that time,

Dr. Riaz Reply
May 15, 2023

I can suggest an ultrasound abdomen. Or consult a physician to find the cause of pain.

M-Shaon Reply
May 21, 2023

Hello sir
My urin examination result is
Ph-5.5
Protein-Trace
Ketone-nil
Bilirubin candent
Glocous-nil
Rbc-nil
Wbc-nil
Cast-nil
Is report normal sir

Dr. Riaz Reply
May 22, 2023

Please check the presence of protein trace. I hope you are not diabetic?

Julia Reply
June 5, 2023

I am 32 weeks pregnant. The followings are my results:
Name Results:
Protein, urine, qn 15.5 mg/dL
Creatinine, urine 100 mg/dL
Protein/creatnine, urine 0.16 mg/mg
Glucose, UA Negative
Bilirubin, UA Negative
Ketones, UA 20 mg/dL
Specific gravity, UA 1.018
Hemoglobin, ur, ql Negative
pH, UA 6
Protein Negative
Urobilinogen, UA <2.0 mg
Nitrite, UA Negative
Leukocyte esterase Trace
WBC 2 HPF
RBC NONE
Squamous cell counts 358 LPF
Mucus Rare
Protein 15.5 mg/dL
Creatinine 100 mg/dL
Protein/creatinine 0.16 mg/mg

Dr. Riaz Reply
June 5, 2023

You have proteinuria. You need supervision of the gynecologist till your delivery. What about you blood pressure?

Bianca Reply
June 14, 2023

Hi Doctor Riaz, my current results are
Specific gravity 1.010
Pus cells 3-6/hpf
Rbc 0-2/hpf
Epitheleal cells – few
Amorphous urates – few
Bacteria- moderate

Bianca Reply
June 14, 2023

Hi Dr. Riaz,
My current test is:
Pus cells: 3-6/hpf
RBC: 0-2/hpf
Epithelial cells: few
Amorphous Urates: few
Bacteria: Moderate

Dr. Riaz Reply
June 14, 2023

Your urine report is normal. Female may have pus cell or WBCs 5 to 7/HPF.

Grace Reply
June 27, 2023

Hello Dr,

Here are my test results:

Color: Yellow
Appearance: Hazy
Reaction: 5
Specific Gravity: 1.010
Protein: Negative
Sugar: 3+

Pus Cells: 0-2/hpf
Red Blood Cells: 0-1
Epithelial/Renal Cells: Few
Am. Urates/Phosphates: FEW
Mucus Threads: FEW
Bacteria: Few

Do I have an illness I need to be aware of?

Dr. Riaz Reply
June 27, 2023

I think you have not noticed sugars 3+. It needs to check your blood glucose level. You need to rule out diabetes mellitus. Please also check your HbA1c.

JONNA Reply
July 5, 2023

Hi Dr. Riaz
Here is my routine urinalysis result

Color pale straw
Transparency hazy
Reaction 6.0
Specific gravity 1.015
WBC (+2) 25-30 /HPF
RBC 0-1 /HPF
Squamous: many
Amorphous :urates few
Bacteria: few
Mucus threads: few

I want to know if there’s any problem n my result?

Dr. Riaz Reply
July 5, 2023

WBC 25 to 30 /HPF indicates urinary tract infection. Before taking antibiotics, please get urine culture and sensitivity report.

JONNA Reply
July 5, 2023

Doc urinary tract infection it can affect your baby? I am in 1st trimister pregnant.

Sylvia Reply
July 23, 2023

Hi Doctor Riaz

My urine analysis result shows

Volumn – 5ml
Colour – Amber
Odor – Nill
Appearance – Clear
pH – 6.0
Protein – Trace
Ketones – Trace
Blood – +++
Specific Gravity – 1.030

My Blood Count
RBC – 4.2
Neutrophils – 36
Lymphocytes – 52
Platelets – 95

Dr. Riaz Reply
July 23, 2023

Please always write age. There is proteinuria and ketones in urine may be seen in starvation, vomiting or fasting. Blood count shows lymphocytosis and that may be seen in chronic infections. You have not written the ESR.

Yhan Reply
July 25, 2023

Hi Doctor Riaz,
Im 32 yrs old, female.
Can I ask ,
Heres my routine urinalysis
Color: yellow
Ph: 5.00
Transparency: turbid
Specific gravity: 1.019
Albumin: 1+
Sugar: negative
Ketones: negative
Urobilinogen: negative
Nitrite: negative
Bilirubin: negative
Erythrocytes: 2+
Leaukocytes: 3+
White blood cells: 60-70/HPF
Red blood cell: 0-2/HPF
Squamous Epithelial: Few
Bacteria: Few

Do I have an illness?

Thanks Doc.

Dr. Riaz Reply
July 25, 2023

This urine report is abnormal. There is proteinuria and urinary tract infection. You need consultation with the urologist/physician.

Imdadul Reply
July 28, 2023

Hi Doctor Riaz,
Im Imran.
My daughter is age:5 yrs old,
Can I ask,
Here is my Daughter’s routine urinalysis
Color: Straw
Ph: 5.00
Transparency: turbid
Specific gravity: Nill
Albumin: Nill
Sugar: Negative
Ketones: negative
Urobilinogen: negative
Nitrite: negative
Bilirubin: negative
Pus cells:02-04/HPF
Epithelial cells: 10-12/HPF

She is suffering from Abdominal pain and burning urination.
please tell me the causes of too high epithetical cells and tretmet for this cause

Do I have an illness?

Dr. Riaz Reply
July 28, 2023

Epithelial cell 5 to 7/HPF are seen routinely. I do not think to worry.
For burning micturition, please get her X-RAY KUB (especially urinary bladder to rule our bladder stone).

Dr. Riaz Reply
July 29, 2023

Please get Xray for her urinary bladder for stones, that may cause burning micturition or infection may be the cause. I do not think epithelial cells have much significance.

Aliya Reply
July 30, 2023

Dear Doctor Sir,
I’m 18 years old girl. How is my report?
COLOUR – PALE YELLOW
APPEARANCE – CLEAR
SPECIFC GRAVITY – 1.010
REACTION (PH) – ACID (pH 6.0)
URINE PROTEINS (ALBUMIN) – NIL
GLUCOSE – NIL
BILIRUBIN – NIL
UROBILINOGEN- NORMAL AMOUNT
KETONE BODIES – NIL
PUS CELLS – 2-4
RED CELLS – OCCASIONAL
EPITHELIAL CELLS – +
CASTS – NIL
CRYSTALS – NIL
ORGANISMS – NIL
( Thank you, sir)

Dr. Riaz Reply
August 1, 2023

Your urine report is negative, no need to worry.

Prakash Reply
July 31, 2023

urin analysis:
color -yellow
appearance -s. turbit
spec. gravity -1.020
ph- 5.0
albumin -nil
suger -nill
ketones- -nill
bilirubin-nill
urobilinogen – nill
ascorbic acid-nill
nitrite- negative
blood- trace
microscopic exam:
pus cells- 3-5
red blood cells-1-3
epithelial cells -nill
casts – nill
crystals – nill
muscus threads – few
bacteria – few
other – nill
s. creatinine – 0.82
My age is- 38
Is this report is normal sir?

Dr. Riaz Reply
August 1, 2023

I will take this urine report normal, unless you have any signs and symptoms.

Prakash Reply
August 9, 2023

Sir, the symptoms are low urine flow and frequent urination.

Dr. Riaz Reply
August 9, 2023

You have not told your age. Check your HbA1C level and fasting blood sugar.

Judith Reply
August 1, 2023

Hi, Dr. Riaz.
I’m 55 yo, female. My urinalysis text results are:
Color: Light Yellow
Transparency: Turbid
pH: 8.0
Specific Gravity: 1.000
Glucose: Negative
Protein: Negative
WBC: 60-70
RBC: 0-2
Epithelial Cells: Moderate
Bacteria: Rare
Mucous Threads: Few

Does the urine test result indicate infection? I’ve been having fever at 38 – 40 degrees Celsius for 3 days now but I don’t feel warm and no pain. What do I need to do?
Thank you.

Dr. Riaz Reply
August 1, 2023

Your urine report shows urinary tract infection. Best would be do urine culture before starting antibiotics. But you need antibiotics with consultation of physician.

Erum Reply
August 1, 2023

Dr. Riaz, Assalam o Alaikum

i would like to know something about my report. please help me in this.

in urine chemical:
1. pH is 6 (is it acidic?) – however it is written (normal range is 5-8)

in urine microscopy:
1. RBC is Occasional / HPF – however it is written (normal range is 0-2 / HPF)
2. Leucocytes is Occasional / HPF – however it is written (normal range is 0-4 / HPF)
3. Squamous epith cell is NIL / HPF – however it is written (normal range is 0-4 / HPF)
4. Non Squamous EPI cell is NIL / HPF – however it is written (normal range is 0-4 / HPF)
5. Bacteria is FEW / HPF (is it serious?)

Dr. Riaz Reply
August 1, 2023

Your urine report is normal. No need to worry.

Amrel Reply
August 6, 2023

Need your opinion Doc. base on the result below. Thank you

Color – yellow
Clarity – hazy
Ph – 7.0
Glucose- negative
Protein – negative
Pus cell. – 1-3 /hpf
Red blood cell – 8-12 /hpf
Mucous thread – +++
Bacteria – ++
RBC Cast – 0-1 /lpf

Dr. Riaz Reply
August 7, 2023

Your urine shows presence of RBCs (8 to 12/HPF). You need to rule out of urinary stones or in case of female, menses contamination needs to rule out.

Roseline Reply
August 8, 2023

Hi Dr. I’m 35yrs. First trimester pregnant. Here is my results:
Urinalysis-
Appearance – amber and clear
pH -5.0
WBC- 1-2/hpf
RBC- 1-2
Yeast- nil
T.Vag- nill
Casts- nill
Epithelial cells- +

Culture:
Yielded scanty growth of staph aureus after 24hrs of incubation at 37°c.

Please sir Is any problem with me and is pregnancy safe?

Dr. Riaz Reply
August 8, 2023

Staph. aureus presence is not good. Please repeat urine analysis, and also ask for urine culture. Do you have urinary burning or other symptoms? Better consult urologist or gynecologist for the management.

Roseline Reply
August 8, 2023

No. There’s no urine burning but there is discharge.

Dr. Riaz Reply
August 9, 2023

Your urine culture shows the growth of Staph. aureus and not good. You need to consult urologist or gynecologist for further workup.

Roseline Reply
August 8, 2023

Hi Dr. I’m 35yrs. First trimester pregnant. Here is my results:
Urinalysis-
Appearance – amber and clear
pH -5.0
WBC- 1-2/hpf
RBC- 1-2
Yeast- nil
T.Vag- nill
Casts- nill
Epithelial cells- +

Culture:
Yielded scanty growth of staph aureus after 24hrs of incubation at 37°c.

Please sir Is any problem with me and is pregnancy safe?

Madhusha Dissanayake Reply
August 15, 2023

Hi Dr.
I am 35 weeks pregnant. The followings are my results:

Colour – Yellow
Appearance – Slightly Turbid
S. G. (Refractometer) – 1.024
PH – 5.5
Protein – +50mg/dl
Glucose – Nil
Ketone Bodies – Nil
Bilirubin – Nil
Nitrite – Nil
Urobilinogen – slightly increased amount
PUS Cells – 35-40 /H. P. F
RD Cells – 10-15 /H. P. F
Epithelial Cells – +
Casts – Nil
Crystals – +Few calcium oxalate

Dr. Riaz Reply
August 15, 2023

Your urine report is not normal. There is proteinuria, increased WBCs, and presence of RBCs. Please see your gynecologist for the management as soon as possible.

vin Reply
August 17, 2023

hello doctor , just wanna check the interpretation of my recent urinalysis. im male.
bacteria – rare
epithelial cells – rare
amorphous sediments – few
mucus threads – rare
thanks.

vin Reply
August 17, 2023

hello doctor , just wanna check the interpretation of my recent urinalysis. im male.
color : yellow
transparency : clear
bacteria – rare
epithelial cells – rare
amorphous sediments – few
mucus threads – rare
thanks.

Dr. Riaz Reply
August 18, 2023

Your urine report is normal.

Ann Reply
August 21, 2023

Hi Doc!
Urinalysis of a 4 year old/female
Color: Yellow
Transparency: Hazy
pH: 6.0
Specific Gravity: 1.025
Protein: Negative
Glucose: Negative
RBC: 0-2/HPF
Pus Cells: 1-2/HPF
Bacteria: Few
Epithelial Cells: Few
Mucus Threads: Moderate
Amorphous Urates: Occasional
Casts: None
Others: None

Is everything okay with my niece? Are the results normal? Thanks in advance!

Ann Reply
August 21, 2023

Hi Doc!
Urinalysis of a 4 year old/female
Color: Yellow
Transparency: Hazy
pH: 6.0
Specific gravity: 1.025
Protein: Negative
Glucose: Negative
Red blood cells: 0-2/HPF
Pus cells: 1-2/HPF
Bacteria: Few
Epithelial cells: Few
Mucus threads: Moderate
Amorphous urates: Occasional
Casts: None
Others: None

Thank you!

Dr. Riaz Reply
August 21, 2023

This urine report is normal.

Sama Reply
August 24, 2023

Hello doctor
Urieanalysis of 22 year old female,
Colour: pale yellow
Specific Gravity:1.020
Ph: 6.5
All Chemical Test : Negative
Microscopy Test Name. Unit: hpf
RBC: 0
Pus calls: 2.30
Epithelial cells: 1.40
Calcium oxalate monohydrate crystals: 0
Calcium oxalate dihydrate crystals: 0.10
Triple Phosphate crystals: 0
Uric acid crystals:0
Calcium Phosphate:0
Cystine crystals: 0
Leucine crystals: 0
Tvrosine crystals: 0
Amoronous urates crystals: 0
Amorphous phosphate crystals: 0
Hayline cast : 0.10
Hyaline-Granular casts: 0
GrAnITer CASIS: 0
RBC casts: 0
WBC casts:0
Fatty casts: 0
Waxy casts: 0
Microorganism Casts: 0
Yeast cells: 0
Bacteria Rod: 3.50
Bacteria Cocci: 53.60
Mucus: 13.30
Other : 0

Dr. Riaz Reply
August 24, 2023

This urine report is normal. Hyaline casts are shown, but protein is negative.

Azad Reply
August 28, 2023

Hi Doctor

My MOM is 85. Her urine routine test result is as follows :

PHYSICAL EXAMINATION
Quantity Sufficient
Color Straw
Specific Gravity 1.010
Appearance Clear
Sediment Nil
Blood Nil
CHEMICAL EXAMINATION
Reaction Acidic
Urobilinogen Not-done
Excess of Phosphate Nil
Albumin (Protein) (+)
Sugar Nil
Acetone Bodies /Keton Bodies Not-done
Bile Salts Nil
Bile Pigment Nil
MICROSCOPIC EXAMINATION
Epithelial Cells 0-1 /HPF
Pus cells Plenty /HPF
RBC Nil /HPF
Amorphous Phosphate Nil
Hyaline Casts Nil
Granular Casts Nil
Cellular Casts Nil
Epithelial Casts Nil
RBC Casts Nil
Calcium Oxalate Crystals Nil
Uric Acid Crystals Nil
Sulphonamide Crystal Nil
Triple Phosphate Crystal Nil
Tyrosine Crystal Nil
Fungus Absent
Sperm Absent
Urate Absent
Bacteria Absent
Candida Absent
Trichomonas Vaginalis Absent
Urine for C/S : Colony Count >10 *5 CFU/ml and fund Esch. Coli
and prescribe an antibiotic Nitrofurantoin 500 mg for seven days twice daily.
My question : Is this treatment is perfect ?
My mother has loss of appetite. There is nothing tasty in tounge. and day after day she is gradually weak.
PLEASE DOCTOR, GIVE US A CONCISE SUGGESTION.

Dr. Riaz Reply
August 28, 2023

Your mother is suffering from urinary tract infection. She needs antibiotics for this infection. If in sensitivity Nitrofurantoin was the choice, then you can continue with this antibiotic. For apatite, I do not know how much your MOM is active. You can give her nutrition supplements like Glucerna etc.

Azad Reply
August 29, 2023

Dear Doctor
Thank you very much for your reply.
How many days should take Nitrofurantoin.
How can I measure normal range of pus cell.
and how can I understand that my MOM out of urinary tract infection. that means in which test I identify it.

I would be grateful if you kindly let me know.

Best regards.

Dr. Riaz Reply
August 29, 2023

Antibiotics are usually given for 7 to 10 days. As regards the effectiveness of the antibiotic, please test urine after 5 to 6 days. There should be no pus cells.

Azad Reply
August 30, 2023

Dear Doctor

Thank you very much for your quick response.
One question to you that is in which area of medical treatment your are specialist. This information is help for me.

Dr. Riaz Reply
August 30, 2023

I am retired professor of pathology.

Azad Reply
August 30, 2023

Dear Doctor

Following is my MOM urine R/E Report. Please give me your valuable suggestion on this report and suggest if any medicine need further.

PHYSICAL EXAMINATION
Quantity Sufficient
Color Straw
Specific Gravity 1.000
Appearance Clear
Sediment Nil
Blood Nil
CHEMICAL EXAMINATION
Reaction Acidic
Urobilinogen Not-done
Excess of Phosphate Nil
Albumin (Protein) Trace
Sugar Nil
Acetone Bodies /Keton Bodies Not-done
Bile Salts Nil
Bile Pigment Nil
MICROSCOPIC EXAMINATION
Epithelial Cells 2-3 /HPF
Pus cells 0-2 /HPF
RBC 1-2 /HPF
Amorphous Phosphate Nil
Hyaline Casts Nil
Granular Casts Nil
Cellular Casts Nil
Epithelial Casts Nil
RBC Casts Nil
Calcium Oxalate Crystals Nil
Uric Acid Crystals Nil
Sulphonamide Crystal Nil
Triple Phosphate Crystal Nil
Tyrosine Crystal Nil
Fungus Absent
Sperm Absent
Urate Absent
Bacteria Absent
Candida Absent
Trichomonas Vaginalis Absent

Jhe Reply
August 31, 2023

Blessed day Doc !
Female 56 yrs old with Diabetes and Hypertension
Urinalysis :
Red cell = 14-17 /HPF
Crenated RBC = FEW
Is it okay ? Pls let me know.THANK you

Dr. Riaz Reply
August 31, 2023

RBCs are abnormal in the urine. You have not talked about WBCs. I think WBCS are not increased in the urine. She should take plenty of water and then again repeat urine test after 2 to 3 weeks.

Jhe Reply
August 31, 2023

Pus cell= 0-2/hpf

Jhe Reply
August 31, 2023

Pus cell= 0-2/hpf
What is crenated RBC ?
No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…

Jhe Reply
September 1, 2023

Blessed day doc !
Female 47 yrs old
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few
Is it okay ? THANK you Doc for being kind and you are a big help !!!

Kharen laman Reply
September 1, 2023

Hi doc I’m female 32 y/o
Color:yellow
Transparency: slightly hazy
Blood +1
Leococyte+1
Bilirubin negative
Urobilinogen normal
Ketone negative
Glucose negative
Protein negative
Nitrites negative
WBC 10-15 /hpf
Rbc 5-10 /hpf
Epithelial-few
Mucus thread few
Bacteria moderate
Amorphous urates few

Kindly help me what is the result doc, I’m still waiting for the result of my urine culture and sensitivity. Is there something wrong to me doc.thank you in advance

Dr. Riaz Reply
September 1, 2023

Your urine report shows RBCs and WBCs,indicating urinary infection. But you have to keep in mind about the menses. In case of menses, no need to worry.

Jhe Reply
September 1, 2023

Blessed day doc !
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few
Is it okay ? THANK you Doc for being kind and you are a big help !!!

Rose Reply
September 6, 2023

Hello Doc!
May I ask if my Urine Test result is normal Thank you!

Color- STRAW
Appearance- HAZY
Pus Cell- 10-12
RBC- 0-2
Epithelial- MODERATE
Am. Urates/Phosphates- RARE
Mucus- FEW
Bacteria- FEW

Thank you in advance!

Dr. Riaz Reply
September 6, 2023

Your urine shows 10 to 12 WBC/HPF, that is not normal. If you do not have any urinary symptoms, then please repeat urine after 2 weeks. Meanwhile take plenty of water.

Jhe Reply
September 6, 2023

Blessed day doc !
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few
Is it okay ? THANK you Doc for being kind and you are a big help !!!

Dr. Riaz Reply
September 6, 2023

Your urine report is almost normal except few RBCs are seen. I will suggest repeating urine after 3 weeks. Take plenty of water.

Jhe Reply
September 7, 2023

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…

Amber darby Reply
September 28, 2023

WBC 5.9High
Urine RBC Value 13.7High
Urine Epithelial Cells Value 8.0High
Urine Bacteria Slight
Urine Hyaline Casts (Auto)5.37High
Urine Protein- Trace
Culture negative

Dr. Riaz Reply
September 30, 2023

Urine report is not clear to me. RBC 13.7 high. WBC 5.9 high. Please ask the lab what they means by high.

andy Reply
September 8, 2023

Age 27 Male
TEST(s) RESULT(s) REFERENCE RANGE(s)
COLOR YELLOW PALE YELLOW -YELLOW

APPEARANCE CLEAR CLEAR
SPECIFIC GRAVITY 1.010 1.005 – 1.025
pH 7.5 5-8
PROTEIN NEGATIVE NEGATIVE (gm/L)
GLUCOSE NEGATIVE NEGATIVE (mmol/L)

ACETONE (KETONE BODIES) NEGATIVE NEGATIVE (mmol/L)

BILE PIGMENT NEGATIVE NEGATIVE (umol/L) UROBILINOGEN 3.4 UMOL/L 3-16 (umol/L)
BLOOD NEGATIVE NEGATIVE (/ul)
NITRITE NEGATIVE NEGATIVE
PUS CELL 0-1 0-4 (HPF)
RED CELL NIL 0-2 (HPF)
EPITHELIAL CELL 0-1 0-4 (HPF)
CAST NIL NIL (LPF)
CRYSTAL NIL NIL (HPF)
BACTERIA NIL NIL (HPF)
YEAST NIL NIL (HPF)
MUCUS NIL NIL (HPF)

Dr. Riaz Reply
September 8, 2023

This urine report is normal.

She Reply
September 9, 2023

Hi Doc,
I’m 27 years old. 37 weeks pregnant may I ask if there’s something wrong on my urinalysis test.

Color: Light Yellow
Transparency: Slightly Hazy
Sp. Gravity : 1.005
Ph: 6.50
Protein: Negative
Glucose:negative
Bilirublin: negative
Blood(ery/hb) :negative
Leucocytes: +++
Nitrite,: negative
Urobilinogen:negative
Ketone: negative
Rbc: 1-3 /hpf
Wbc:6-8 /hpf
Epithelial cells: moderate
Bacteria: few

Dr. Riaz Reply
September 9, 2023

Leucocytes are three plus and few RBCs. But nitrite is negative. WBCs are 6 to 8/HPF. Please repeat your urine from different lab. Because this urine report is confusing, and reports does not tally with each other.

Jhe Reply
September 9, 2023

Blessed day doc !
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…

Abid Munir Reply
September 9, 2023

Salaam Doctor,

Dr. Riaz Reply
September 9, 2023

Wailkum salam, Thanks,

Jhe Reply
September 10, 2023

Blessed day doc !
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…big help.

Sakshi Reply
September 16, 2023

Female 19 years old
Urine examination Result :
Albumin – nil
Sugar – nil
Pus cells- -6-8/HPF
Epithelial cells- 12-15/HPF
RBC- 0-1/HPF
Motile bacteria -present (+)

Dr. Riaz Reply
September 16, 2023

Urine report looks to be normal. Only Pus cells 6 to 8/HPF is seen. I will suggest repeating urine from different lab after 2 weeks.

Jhe Reply
September 16, 2023

Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…big help.

Lewis Reply
September 16, 2023

Female 32
Urinalysis result
Color : yellow
Clarity: Sl. Hazy
Ph: 6.0
Specific gravity: 1 030
Protein: trace
Blood: neg
Glucose: neg
Ketones: neg
Bilirubin: neg
Nitrite : neg
Leukocytes: neg
Urobilinogen: 0.2
Epithelial cells: 2+
Bacteria: 1+
Mucus: 1+
Wbc: 0-3
Rbc: 0-3
Casts: none
Crystals: none
Yeast: none
Trichomonas: none seen

Dr. Riaz Reply
September 17, 2023

There is mild proteinuria. Please drink plenty of water and repeat your urine after one month.

Jhe Reply
September 17, 2023

Blessed day !
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…big help.Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…big help.

T Kiran Kumar Reddy Reply
September 18, 2023

Hi doctor md Riaz, my father 55 years old urine analysis is hear
Color – pale yellow
Apperance-clear
Sediment – present
Spefic gravity : – – –
Reaction – acidic
Alubin – trace
Sugar-nil
Rbc – nil
Pus cells :6-8/hpf
Elipthical cells :2-3/hpf
Casts-nil
Crystals – nil
Others – nil
He is diabetic including mediation with insulin, hypertension
Is the report is normal sir

Dr. Riaz Reply
September 18, 2023

Your father urine shows proteinuria, that is the complication of diabetes mellitus. Please also check eyes of your father to rule out retinopathy. He needs complete workup for diabetes complications.

Jhe Reply
September 18, 2023

Hi doc…
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…big help.

T Kiran Kumar Reddy Reply
September 19, 2023

Hi doctor md Riaz, my father 55 years old urine analysis is hear
Color – pale yellow
Apperance-clear
Sediment – present
Spefic gravity : – – –
Reaction – acidic
Alubin – trace
Sugar-nil
Rbc – nil
Pus cells :6-8/hpf
Elipthical cells :2-3/hpf
Casts-nil
Crystals – nil
Others – nil
He is diabetic including mediation with insulin, hypertension
Is the report is normal sir
His creatine is 1.9 will it decreases, doctor prescribed renolife tablet, will it works to reduce creatine and kidney function

Priya Reply
September 19, 2023

Hi Sir,
I’m 37 yrs old female
My Urine routine report says as following:
Colour: Pale yellow
Appearance: Slightly cloudy
pH: Acidic
Albumin: Trace
Sugar: Nil
Pus Cells: 10-12/HPF
Epithelial Cells: 3-7/HPF
RBC: 2-4/HPF
Cast: Nil
Crystal: Nil
Bacteria: Present

I have sedentary life style due to office work load, have continuous lower left abdominal pain since pregnancy, and have constipation due to irregular eating and sleeping habits.

After (1st baby) delivery (at the age 33/34yrs old) also the pain continues till now. I have taken urine routine and USG (60 days USG alone), 6 months, and also 2 year after delivery. No adhesion or fluid found in USG and that report said everything normal. But Urine routine had RBC and Epithelial cells previously. Then Dr suggested me to drink more water.

Now 3 years after at 37yo, the same present. Please suggest. I’m well hydrated now.
Note: Since, I’m in Kerala, everyone including hospitals staff suggested me to consult and take ayurvedic medicine after delivery. As per them after 45 days, I consulted and that Ayur.Dr. suggested me that I have to take medicines for 2 months. For first month, so many medicines (tablets, capsules, kashayam, arishtam, health mix, for stamina) for 1 month, and I took and felt well. For second month, she changed some medicines and newly included some tablets (in which I found some metalic powders and crystals in a tablet) which I need to add and mix with khsayam (a liquid). The liquid added with tablet I drank, but it has sediments of that metal. I was shocked and didn’t take that medicine again. I discontinued all ayur medicines and informed that ayur dr. She again added some more tablets. I just take one and stopped taking those medication.

Please suggest does taking such (even though approved) medication once/twice in a day cause damage to the cells? Or, this report could be due to some other problem within me?

Dr. Riaz Reply
September 19, 2023

Your urine shows mild proteinuria. As regards your pain, i think they should do intravenous pyelography, that may give some clue about your pain. Rest as regard ayurvedic medications are not recommended because no research is done on these medications. These drugs, no bodies know about their side effects. As regards water please take 2 glass of water empty stomach.

Jhe Reply
September 19, 2023

Blessed day doc…
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake ? And then after a week…repeat a urine test ? THANK you doc…big help.

NHERI ROSE Reply
September 21, 2023

PHYSICAL
– COLOR LIGHT YELLOW
– APPEARANCE TURBID
– SPECIFIC GRAVITY 1.030
-REACTION ACIDIC

SUGAR – NEGATIVE
ALBUNIM POSITIVE 1+
EPITHELIAL CELL – MANY
PUS CELL – 20-25/HPF
RCB 2-3/HPF%
AMORPHOUS URATES/PHOSPATE – FEW
BACTERIA – FEW
MUCUS THRED – FEW

Dr. Riaz Reply
September 21, 2023

Your urine shows proteinuria and urinary infection. Please consult the physician. Also get urine culture if you have not started antibiotics. Please aways mention the age.

Jhe Reply
September 21, 2023

Blessed day doc…
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake…And then after a week…repeat a urine test ? THANK you doc…big help.

Muhammad Faizan Reply
September 25, 2023

Blesses Day Dr.

32 Male

Colour YELLOW
Specific Gravity 1.025
PH 5.0
Proteins +
Glucose NIL
Ketones NIL
Urobilinogen NORMAL
Bilirubin NIL
Blood (Chemical Test) +++
Nitrite NEGATIVE
Pus Cells NUMEROUS /HPF
RBC’s 18-20 /HPF
Epithelial Cells 0-1 /HPF
Casts NIL /HPF
Amorphous Phosphate/Urates NIL
Mucous PRESENT /HPF
Bacteria NIL /HPF
Yeast Cells NIL /HPF
Crystals NIL

Dr. Riaz Reply
September 25, 2023

There is urinary tract infection. Please ask for urine culture and sensitivity. Also get ultrasound to rule out any other abnormality like stones etc.

Arshad Reply
September 26, 2023

Good day Doc!

I’m a 31 year old Male suffering from painful urination. I just want to be open here. Recently I had an unprotected sex with a girl and after 8-10 days i started experiencing burning and painful sensation when urinating. Doctor prescribed me antibiotics for UTI without any urine test. After taking the medicine the pain did not subside instead it became extreme painful. After 3-4 days taking the antibiotics I went to the doctor again. He prescribed me Azithromycil for 3 days and also asked me to have a urine test done. Below are the result of the test:

Physical examination
Color and Appearance- Yellow
Appearance- Clear
Specific Gravity- 1.020
PH- 7.0
Glucose- Negative
Ketone- Negative
Protein- Negative
Blood- Trace
Bilirubin- Negative
Urobilinogen- Normal
Nitrite- Negative
Leukocytes- Negative

Microscopic Examination
Pus Cells 1-2
RBC’s 6-8
Epithelial cells 1-2
Bacteria- Absent
Yeast Cells- Absent
Trichomonas Vaginalis- Absent
Mucus Threads- Absent
Crystals- Absent
Casts- Absent

Doc, please let me know if I have to worry about the test and what steps I take from here on. Please note that I have been feeling a little better less pain and less burning while urinating but the pain is still causes me uncomfortable after taking Azithromycin.

Your immediate response is highly appreciated.

Dr. Riaz Reply
September 26, 2023

Please check Gonorrhea by urethral smear. Your history suggests Gonorrhea.

Arshad Reply
September 27, 2023

Hello Doc!

Will gonorrhea be cured? Is Azithromycin the right antibiotic for this?

Milly Reply
September 28, 2023

Hello Doctor, my one year old female child:

Leukocytes 6-8 (0 – 5)
Cells of squamous epithelium FEW (0 – 5)
Bacteria FEW (0)
Salts-amorphous urates FEW (0)
Small epithelium cells 3-5 (0 – 1)
THANK YOU

Dr. Riaz Reply
September 28, 2023

I think this urine report is normal. For the leukocytes, please repeat the urine after 2 weeks. Give plenty of water.

Jhe Reply
September 29, 2023

Hi doc…
Female 47 yrs old / Menopause
Urinalysis :
Color = Yellow
Turbidity = Hazy
SP.GV = 1.005
Ph = 6.0
Protein = Negative
Glucose = Negative
Pus cell = 1-4/ hpf
Red cell = 6-9/hpf
Epithelial cells= Few
Mucus Thread = Moderate
Bacteria = Few

No infection ? Why is there blood ? No need for medication ? Just increase fluid intake…And then after a week…repeat a urine test ? THANK you doc…big help.

Rhoda Reply
October 6, 2023

Crystal haematobium ova
candida, t vaginals, casts
Are all N subscript 2 a
Please are they positive

Rhoda Reply
October 6, 2023

Hello doc I’m 20 and I had this from last urine test
Crystal haematobium ova
candida, t vaginals, casts
Are all N subscript 2 a
Please are they positive

Dr. Riaz Reply
October 6, 2023

When these are present are abnormal. Why there are so many things positive in one urine sample. Please repeat urine from different lab.

Nivin Reply
October 8, 2023

Hello Doctor, my 5 years urine analysis results are :
Color: Yellow
Aspect; Turbid
Specific gravity: 1.020
PH: 6
Protein: positive
Glucose: negative
Ketones: positive
WBC/hpf : 35-37
RBC/hpf :1-3
Epithelial cells/hpf : 0-2
Crystals : Granular cast
She is having high fever and vomiting, She was prescribed Suprax for 14 days
I’m worried about proteins being +
Please advise

Nivin Reply
October 8, 2023

Hello Doctor, my 5 years urine test results are :
Color: Yellow
Aspect; Turbid
Specific gravity: 1.020
PH: 6
Protein: positive
Glucose: negative
Ketones: positive
WBC/hpf : 35-37
RBC/hpf :1-3
Epithelial cells/hpf : 0-2
Crystals : Granular cast
She is having high fever and vomiting, She was prescribed Suprax for 14 days
I’m worried about proteins being +
Please advise

Dr. Riaz Reply
October 8, 2023

There is urinary tract infection. Ketones are positive due to vomiting. I think they should have done urine culture and sensitivity before starting the antibiotics. This urine report Favour UTI (urinary tract infection). When symptoms subside, repeat the urine examination.

Fatima Reply
October 14, 2023

What does amorphous : urates 3+ mean in Urine test?

Dr. Riaz Reply
October 14, 2023

Urine amorphous has very little clinical value. These are seen when one eats more meat, dehydration, and fever. These are seen in acidic urine.

.

Oli S Reply
October 18, 2023

Hi Dr Raz

Does below results for my baby girl means she has UTI?

Age/Sex: 10mos/F

GROSS EXAMINATION
Color : Yellow
Transparency : Hazy
Reaction (ph) : 5.0
Specific Gravity : 1.010
Blood : NEGATIVE
Protein : NEGATIVE
Sugar : NEGATIVE
Leukocyte : +3
Urine Ketone : NEGATIVE
Urine Urobilinogen :NORMAL
Urine Bilirubin : NEGATIVE
Nitrite : NEGATIVE

MICROSCOPIC EXAMINATION
RBC : 0-1/HPF
PUS Cells >50/HPF
Epithelial Cells : OCCASIONAL
Bacteria : OCCASIONAL
Mucus Threads : OCCASIONAL

Thank you

Dr. Riaz Reply
October 18, 2023

Pus cells >50/HPF indicate urinary infection. Urine is hazy which means infection. I will suggest for culture and sensitivity before starting antibiotics.

Adrian Reply
October 19, 2023

Hi Dr. Riaz,

son (12 years):
Hb (g/dl): 15.0
Hkt(%) 42.8
Tromb: 248000
Ges. Leuko: 6000
%gran: 45
%L/M: 55
MCHC: 35.0g/dL
Blood sugar: 98 mg/dL (not fasted)
CRP: 11 mg/L
Urine protein + BB

Thank you

Dr. Riaz Reply
October 19, 2023

There is mild increase in lymphocytes and urine shows protein. These finding may be seen during fever. You have not told that why these tests were done. If there is fever, then please repeat urine and CBC after the fever is over.

Adrian Reply
October 20, 2023

There was no fever. My son has had abdomen pain for about 4 weeks. The doctor has indicated constipation and given Movicol for past 4 weeks.

Jor Reply
October 24, 2023

Hi Dr. Diaz, I am concerned about bacteria appearing “few” on my urinalysis. Is this Normal?

Male 24 years old.
Color: Light Yellow
Transparency: Clear
Specific Gravity: 1.020
Protein: Negative
Glucose: Negative
Reaction pH: 6.0
Pus Cells: 0-2/HPF
RBC: 0-2/HPF
Ephithelial Cells: Few
Mucus Thread: Few
Bacteria: Few
Yeast Cells: None
Calcium Oxalate: None
Pus Cells in clumps: None
Uric Acid Crystals: None
Amorphous Urates: None

Dr. Riaz Reply
October 24, 2023

Few bacteria are normal. Because if there is urinary infection, then you will find increased pus cells.

nadia Reply
November 1, 2023

hi doc…my mother is 43 this is her urine r/e report…is it something to worry about or is it ok?
Color Yellow
Appearance Clear
Specific Gravity 1.005
pH 8.0
Protein Negative
Glucose Negative
Urine Ketone Negative
Bilirubin Negative
Hemoglobin+++
Urobilinogen0.2
Nitrite Negative
Leucocyte esterase++
Microscopic=
W.B.C. 10-12 / HPF
R.B.C. 20-24 / HPF
Epithelial Cells 0-1 / HPF
Casts Nil
Crystals Nil
Pathologist Comments : Pus cells are increased.

Dr. Riaz Reply
November 1, 2023

Your mother urine shows abnormalities. There is hemoglobin in the urine indicating hemolysis in the urinary tract. There is hematuria and pus cells are borderline. Please get X-Ray (KUB) and ultrasound to rule out the stones/any other abnormality.

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