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23 września 2019 0:18

From a series of test results: Leucocytes



An increased number of leukocytes in urine may indicate leukocyturia. However, before such a condition is diagnosed, it is necessary to make sure that the presence of white blood cells in the urine does not indicate inflammation of the urinary tract.

Leukocytes in urine

Leukocytes, when excreted correctly with urine, in a healthy person are only 1-3 (leukocyturia). If there are more than 5 unspinned urine tests, leukocyturia is diagnosed. This result is usually caused by inflammation, because the body destroys dangerous pathogens (bacteria, viruses, fungi) using leukocytes. However, it is not necessarily the result of this one disorder, the diagnosis may also indicate other causes.

Leukocyturia can also be identified with abscess, but this occurs when the amount of leukocytes in the urine changes its colour and smell and is clearly cloudy. This is usually accompanied by bacteriuria, but without the so-called bacteriuria, there will be talk of sterile abscess.

Leukocytes in urine: kidney disease

Interstitial renal inflammation occurs in hematuria with fever, dull pain in the lumbar region, rash on the skin and pain in the joints. On the other hand, an increase in the volume of hematuria transforms into:

- glomerulonephritis, in the chronic type manifests itself in weakness, anaemia, calcium-phosphate metabolism disorders, and even symptoms of ischemic heart disease, and in acute, symptoms of nephritic syndrome (hematuria, proteinuria, hypertension) and it happens that kidney failure. The characteristic feature is foaming, pink, reddish or brown urine;

- pyelonephritis is a pain in the lumbar region. It can be single- or double-sided and radiate to the groin. Usually there is also a fever or a subfebrile condition that causes you to feel unwell. There may also be abdominal pain, nausea and vomiting, as well as so called dysuric symptoms;

- kidney stones have the character of pricks in the lumbar region, sometimes radiating to the groin, vulvar lips or testicles, as well as abdominal discomfort, causing vomiting, hematuria and dysuric symptoms. General symptoms such as elevated body temperature and weakness also occur;

Leukocytes in urine: bladder cancer

This disease manifests itself in painful urination with the presence of blood, accompanied by burning in the urethra and pain in the epithelial and lumbar regions. Rather, it is a disease of the elderly.

Leukocytes in urine: appendicitis

Ovarian and Fallopian tube inflammation is a sudden systolic pain on both sides of the lower abdomen that intensifies during intercourse. It can radiate to the groin and thighs and there are: weakness, fever or a subfebrile condition. As a result of peritoneal irritation, nausea, vomiting and diarrhea.

leukocytes

IMPORTANT: When evaluating leukocyturia in women, there is a possibility of urine contamination with purulent discharge from the vagina, especially in case of stomach ulcers!

Leukocytes in urine: appendixitis

It starts with pain at the navel, accompanied by nausea and (rarely) vomiting. This pain passes into the area of the right groin and intensifies during movements and coughing. The relief is provided by the embryonic position. The temperature rises, but does not exceed 37.5-38 degrees Celsius. In the case of an atypical process, other ailments occur, e.g. frequent urination.

Leukocytes in urine: the result of drug reactions

Angiotensin converting enzyme inhibitors, aminoglycosides, cephalosporins and sulfonamides, tuberculostats, diuretics, cyclophosphamide, non-steroidal anti-inflammatory drugs, phenacetin, lithium salts- may cause leukocyte growth in blood.

Leukocytes in urine: other causes

- high physical exertion;
- febrile states;
- dehydration;
- the presence of foreign bodies, e.g. a catheter inserted into the bladder;
- chronic circulatory insufficiency;
- any inflammatory lesions of organs adjacent to the urinary tract.