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Ask A. Schuyler, NP Your Own Question
A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16264
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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I have RBC of 5 from two urine samples take one day apart.

Customer Question

I have RBC of 5 from two urine samples take one day apart. also the bacteria and epithelial cells are "Many" on these two samples. my general Dr refer me to Urologist who wants to do CT scan (Hematurial/CT IVP), urine cytology, and cytoscope. I request for another urine sample to recheck RBC, but the urologist thinks even if it is nagtive, it does not tell anything. are all these tests over kill? please help
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: no meds. I've seen general doc and urologist
JA: What medications do you take daily? Are you allergic to any medications?
Customer: birth control, B complex, pro-biotic, omega 3
JA: Anything else in your medical history you think the doctor should know?
Customer: no
Submitted: 6 months ago.
Category: Health
Expert:  A. Schuyler, NP replied 6 months ago.

Hello,

Welcome to Just Answer. My name is***** am reading your question and will be back with you ASAP.

Expert:  A. Schuyler, NP replied 6 months ago.

Why was the first urine test done?

Customer: replied 6 months ago.
Regular checkup
Expert:  A. Schuyler, NP replied 6 months ago.

I tend to think it's a rush to judgement. RBC in a urine sample can be from exercise, a kidney stone, urinary tract infection (which would also explain the bacteria). Epithelial cells and bacteria can also come from sample contamination from the vagina. Usual procedure would be to give an antibiotic for the infection and follow up in 10 days to 2 weeks with another urine test to see if there is any improvement. Treating the infection would seem to be the first step.

Kind regards,

Schuyler

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