Urology Questions? Ask a Urologist for Answers ASAP
I think that the repeat of your labs a month later and all being normal is most reassuring here...
The uric acid crystals would not necessarily mean that you currently have any kidney stones BUT the presence of crystals would indicate that you may be at an increased risk for developing such in the future. Drink plenty of fluids would be the main precaution to help prevent ANY type of kidney stone!
The elevated creatinine would be reflective of kidney function. It can also be affected by your muscle mass or any muscle breakdown. It sounds reassuring that you had follow up labs that were normal and that your doctor did not express any concern regarding this is also probably a good sign that it was not of a significant degree ....
The elevated white count and neutrophils would be a typical body response to a bacterial infection being present. Here again if this was repeated and normal on follow up and you have no concerning symptoms then this would be signs that you have nothing to worry about at this point!
I hope this helps! Let me know if you have further questions and I will be happy to get back with you!
If my answer has been helpful and to your satisfaction then please remember to leave positive feedback. Thank you and Best Regards,
Anthony Bray MD
No the uric acid crystals WOULD NOT result from any of the things that you mentioned above....
These would result from you having high uric acid in the blood stream which is then filtered into the urine. If the urine is too concentrated with uric acid vs water then crystals form.
That is why drinking plenty of fluids( I recommend 8 to 12 ounces of fluid every 2 hours while awake) is your best protection against these crystals getting worse and having the potential to form kidney stones.
I hope this helps! Let me know if you have further questions!
So, no need to ruch t a urologist right now, just repeat the urine and drink plenty of fluids, correct?
Yes there would not seem to be any reason at this point for you to need to consult a urologist... I agree with a follow up urinalysis as a reasonable and prudent step! Yes to the question with regard to push those fluids!! Very good for you in general to stay well hydrated!!
I hope this helps. Let me know if you have further questions!
I do already drink alot of fluids , i will drink more.
What else can uric acid crystals in urine mean?
I was told that the crystals shed from the stone? Also told is it because a stone may move around that I sometimes show crystals and sometimes dont.
It does not have special sinister meaning... there are some foods that you may watch for to help drop your uric acid level (it is weird list >> you may google combination of Gout and Diet for additional info) >>> but less sardines, beer, sweetbreads, Anchovies, liver, spinach (organ meats), spinach, mushrooms, asparagus, cocoa, oatmeal ... (these are foods high in purines)
(I told you it was a weird list right! )
The crystals are not coming off of a kidney stone!! IT does not work that way!! It is the reverse.. crystals may enlarge to form stones but the dissolution of stones would not produce crystals... more like an ice cube melting..
The presence of crystals or high blood level of uric acid in itself does NOT represent a medical problem that requires any treatment!! It is a sign of it being a good idea to do what you can toward prevention of possible gout or uric acid kidney stones however...
I hope this helps!
Let me know if you have further questions!!
I see >> well obviously I strongly disagree that crystals are from stones... as I said crystals may grow to stones. If you had an obstruction of a ureter and uric acid crystals present then this combination would certainly make the detective in us say that this was very good evidence of the stone likely being a uric acid stone....
Typical symptoms of kidney stones would be sharp pain most typically in the flank are( area of side/back just at lower edge of ribcage) That is where your kidneys are located. Kidney stones are notoriously high on the pain scale and usually produce nausea as well. Blood in the urine (this may be microscopic or tea colored urine or blood tinged urine) is another potential sign.
I hope that this information helps. Let me know if you have further questions and I will ill be happy to get back with you!!
First a bit of clarification... urethra is the tube from bladder to the outside>> you would not be able to urinate...
The ureters are the tubes from the kidney to the bladder>> usually this would cause pain and nausea.. this location may cause lower abdominal pain however... I have seen a few CHRONIC cases with very few active symptoms >> ongoing nausea sometimes presents... It can cause damage or even failure of one kidney if that occurred... if obstruction was relieved in time then kidney would usually be OK...
I hope this helps to clarify. Let me know if you have further questions!
Well I guess that I would tend to favor the cautious side and do a follow up urinalysis. This is a simple and inexpensive test. It could determine if you had blood in the urine as a red flag for example. I do not think that you need a CT or any extensive tests or urology referral at this time if your are not symptomatic in a way that would suggest possible stone...Potential to follow up on presence of uric acid crystals too >> on this issue as I said the mere presence of crystals does NOT indicate the need for any medical intervention (such as drugs to lower the uric acid for example) but is a measure of caution associated with this finding...
No, if one ureter was blocked this would not necessarily be clear on a blood test as one kidney can function sufficiently to handle the body's needs. (Amazing isn't it?)
I hope this has been helpful for you! Let me know if you have further questions!
No I think it is good for you to stop over-worrying the matter!!
The improvement of incontinence has never been a BAD thing as far as I know!! No , this would not be any suspicious symptom for you!!
I hope that this helps! Take Care and Best Regards!!
Positive feedback would be very much appreciated if my answers have been helpful and to your satisfaction! Thank you and again Best Regards,