What does positive urine leukocytes mean

One of the items in the urine routine examination is the urine white blood cell test. When the urine white blood cell is positive, it is of great significance for the examination of kidney function. The doctor can use the results of this diagnosis to judge whether the patient is healthy, whether the kidney function and the urinary system are healthy. This is also an important basis for judging kidney disease. White blood cells exist in our blood. Of course, due to some reasons, white blood cells will enter the urine. It is normal to have a small number of white blood cells in the urine, but if the white blood cell count increases, this means that the urinary system or kidney function has been greatly affected, which may be caused by infection.

What does urine routine white blood cell count mean?

Urinalysis white blood cell count is an item in routine urine examination and is also an important indicator for judging urinary system and kidney diseases. The number of white blood cells in urine routine is an important basis to help us understand our physical condition.

Generally speaking, white blood cells exist in our blood, but due to some reasons, some white blood cells will be excreted with urine, which is commonly known as urinary white blood cells. It is normal to have a small amount of white blood cells in the urine, but if there are too many, it means that there is something wrong with our body. Therefore, white blood cells are also included in the routine urine examination.

If the white blood cell count in urine is low, symptoms such as dizziness, fatigue, loss of appetite, and low fever may occur. If the white blood cell count in urine is high, it means there is something wrong with our kidneys or bladder. Either way, we need to take it seriously.

What is the normal value of white blood cells in urine routine

After centrifugation, the white blood cell content of normal urine is generally: 0-2/hp for men and 0-5/hp for women (hp is the high-power field of view of the microscope, i.e. 40x). The quantitative urine white blood cell measurement by the machine is represented by “+” and “-”, “+” means positive, “-” means negative, and negative means normal.

If the white blood cells in the urine are >5/hp, it means there is purulent inflammation of the urethra, such as nephritis, cystitis or urethritis, renal tuberculosis, etc.

It should be mentioned that due to allergic reactions caused by taking medicines, there will be an increase in white blood cells in the urine; when women's leucorrhea is mixed with urine, there will also be an increase in white blood cells.

Therefore, when the white blood cell test in a routine urine test is positive, there is no need to panic. You should first check whether you have other symptoms, such as edema; whether your urination is normal, etc. If the urine routine test results show only one + white blood cell, there is no need to worry. Just wait for the diagnosis to be confirmed and receive timely treatment.

What is the reason for high white blood cell count in urine routine

Experts say that many patients with kidney disease will experience hematuria, and the cause of hematuria is closely related to the high level of white blood cells in urine.

There are many reasons for high white blood cell count in urine, but the most common one is kidney disease. Therefore, when a routine urine test finds that the white blood cell count in the urine is high, it is necessary to check whether it is a kidney disease so as to determine the treatment method in time and control the disease to avoid more serious consequences.

The most common kidney diseases include pyelonephritis, pyonephrosis, renal abscess, kidney stones with infection, renal tuberculosis, and tubulointerstitial lesions.

Ureteral and bladder diseases are also one of the causes, such as inflammation of the ureters and bladder, stones, tuberculosis, tumors, etc.

Urethral diseases are often seen in urethral stones, inflammation, tumors, foreign bodies, stenosis, urethral adenitis or abscesses and prostate diseases, such as prostatitis, abscesses, tumors, etc.

Seminal vesicle diseases such as seminal vesicle inflammation, abscess, etc.

All of the above kidney diseases will cause high white blood cell count in urine routine.

In case of glomerulonephritis, the number of white blood cells in the urine may increase slightly. If a large number of white blood cells or pus cells are found in the urine, it indicates purulent inflammation of the urinary tract, such as pyelonephritis, cystitis, urethritis or renal tuberculosis. A large number of neutrophils may appear in the urine within 1 week after kidney transplantation, and then gradually decrease and return to normal. Therefore, when the white blood cell count in urine routine test is high, don't panic too much, but objectively eliminate some influencing factors.

What to do if the white blood cell count in urine is high

When the white blood cell count in urine routine is high, you need to follow the doctor's advice, actively cooperate with the doctor's treatment, take some appropriate medications under the doctor's guidance, and arrange a reasonable diet to restore your body to health as soon as possible.

The white blood cell count in urine routine test is high, which is not a big problem, but it is not a small problem either. There are many reasons for the high white blood cell count in urine routine. High white blood cell count alone does not mean anything. As long as there is no discomfort in the body, the impact will not be significant, so you can relax. If you feel any discomfort, you need to communicate with your doctor in time and undergo further examinations to determine the cause and provide the doctor with a basis for diagnosis and treatment.

Generally speaking, the purpose of a routine urine test is to detect and treat the disease early, so as to avoid delaying the best treatment time and causing regret. Therefore, no matter which item in the urine routine test is abnormal, further examination is needed in order to obtain timely diagnosis and treatment.