How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Tharun Your Own Question

Dr. Tharun
Dr. Tharun, Urology Resident
Category: Urology
Satisfied Customers: 3682
Experience:  MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
8708167
Type Your Urology Question Here...
Dr. Tharun is online now

My 5 year old daughter has WBC 878, RBC 77 Epithlial cells

Customer Question

My 5 year old daughter has WBC 878, RBC 77 Epithlial cells 5 in her urine but no growth what could cause this ?
Submitted: 1 year ago.
Category: Urology
Expert:  Dr. Tharun replied 1 year ago.
Hi

Why was the test done ?

Does she have any urinary symptoms ?

Any abdominal pain?

Any ultrasound scan done?

History of urinary infections?

Please let me know.

Dr.Tharun
Customer: replied 1 year ago.
She was born with grade 2 kidney reflux which she has now out grown but whenever she is ill they always check her urine just incase,
She has had recurrent infections since March 2014 when she had glandular fever
2 bacterial infections of unknown origin
4 strep throat infections 1 of these with strep skin infection
Whooping cough
Several upper respiratory infections
And various viruses
She had a kidney scan in October which was normal as was her urine specimen
However every specimen since December has shown WBC and RBC
She shows no signs of a urine infection and the tests show no growth
She has constant abdo pain but this is due to all the lymph nodes in her body being swollen because of EBV and constant infections
Regards
Kerry
Expert:  Dr. Tharun replied 1 year ago.
HI

Have you done a DMSA scan to see for any scars in the affected kidney?

Have a done a recent VCUG - voiding cysto Urethrogram ?

Please let me know.

Dr.Tharun
Customer: replied 1 year ago.
Hi they haven't done either of these tests !
The blood test they did in November showed elevated phosphate 6.9 ( 2.5 - 6.5) and urea 1.83 (0.90 - 1.80)
Expert:  Dr. Tharun replied 1 year ago.
Hi

Sometimes Kidneys with reflux can form scarred portions which are sites of infection. Even though the reflux may have resolved, these scared portions can release RBCS and WBCs in urine.
DMSA scan will look for scars in the kidney.
VCUG is done to confirm that the reflux has indeed resolved once and for all.

Only then we can complete the work up for this condition.

Thank you.
Dr. Tharun, Urology Resident
Category: Urology
Satisfied Customers: 3682
Experience: MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
Dr. Tharun and other Urology Specialists are ready to help you
Customer: replied 1 year ago.
Thank you, ***** ***** was this needed further investigation so I will now make sure she is referred for these test
Kind regards
Kerry
Expert:  Dr. Tharun replied 1 year ago.
You are welcome.
Dr.Tharun

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Y.

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/lyeung1/2010-07-25_032152_tn_IMG_0241.JPG Dr. Y.'s Avatar

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
  • http://ww2.justanswer.com/uploads/TH/tharun/2013-12-28_0129_tailoredfitsuits.64x64.jpg Dr. Tharun's Avatar

    Dr. Tharun

    Urology Resident

    Satisfied Customers:

    614
    MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
  • /img/opt/shirt.png Dr. B's Avatar

    Dr. B

    Urologist

    Satisfied Customers:

    62
    Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    276
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University