What does it mean if WBC/HPF is super high from …

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    White blood cells in the urine are a sign of infection in the kidneys or bladder, or both, and also possibly in the prostate gland. If the infection is limited, the white blood cell count in the blood can be normal. If the count goes up in the blood as well as in the urine, we would suspect that the infection is in the kidneys rather than just in the bladder and that it is a bad enough infection to need aggressive treatment. When the white blood cell count is high only in the urine, you can probably be treated successfully with antibiotics taken by mouth without being admitted to the hospital.

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    A simple bladder infection( indicated by the wbc’s in the urine) will not raise the body’s total white blood cell count, since it is a localized infection. If the infection spreads upward into the kidneys, this will result in an elevation of the total WBC count.

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    The scenario suggests that the patient has a UTI (urinary tract infection). The infection may involve just the bladder or has reached the kidney. Back pain and fever would signal the latter. However, a normal white blood cell count only suggests that a benign, localized infection has taken place; but it doesn’t rule out concomitant blood infection (sepsis) or the need for hospitalization. The overall clinical picture, including the presence of vomiting, is the final determinant of whether the patient stays in the hospital or goes home with an oral antibiotic.

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    The urine result” wbc/hpf super high”does not show a meaning.Normally the result is given as : eg. pus cells 5–8,10–12,15–20, numerous/HPF or field full.I assume this “super high” is numerous and the reason may be UTI or any other infection in the urinary system including kidney related illness(usually fresh wbcs). Few physiological condition also show pus cells in urine. In all these situations the cbc will be with in normal.Chronic infection may change the picture to leucocytosis.

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    If your urine shows a high white blood cell multiple, but the number of white blood cells is within the normal range, indicating that your urine or bladder has a certain infection, in general, antibiotics can solve this problem.

    But in some cases, such as fewer white blood cells, there is always frequency of urination, urgency of urination, and the feeling of burning urethra. This may be chronic prostatitis or vaginitis. In China, male patients use Diuretic and Anti-inflammatory pill are more than female patients, because many men have chronic prostatitis or cystitis.

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    Almost certainly this means you have a urinary tract infection, unless there are also very high numbers of red blood cells that could indicate bleeding into the urine.

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    I would have to see the entire urinalysis report to compare its different test measurements, but a high WBC count in a urinalysis would lead me to check the rest of the urine report for probable urinary infection.

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    There are 2 reasons this can occur. One reason is a the presence of a urinary tract infection. The second reason would be vaginal secretion contamination of urine. This is more likely if there are a lot of epithelial cells seen on urine microscopy. Leukocyte esterase is a fairly specific finding for a urinary infection.

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    HPF = High Powered Field. When you give a urine sample (UA = urine analysis), they spin it in a centrifuge and pour most of it out and put the remainder on a slide. There should be no RBCs (Red Blood Cells) and only a few WBCs (White Blood Cells). Increased WBCs indicate infection. But it would have to be a lot more (like thousands) to cause symptoms. And it’s possible the specimen was not a “mid-stream clean” catch” and was contaminated with cells and mucus from the genital area. Just drink lots of water and flush the system out.

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    It is not SUPER high but it is higher than normal. Normal WBC can range from 4-11k. So it is just a little bit higher than normal….granted this normal is just an average of majority of people..some people may just have a slightly higher than normal WBC (kinda similar to a blood pressure…the norm is 120/80 but some people can have a slightly higher “normal” for them or a slightly lower “normal,” like mine always runs lower than the normal average but it is normal FOR ME).

    On the other hand, a slightly higher WBC could signify an infection… Normally, the machine would flag this CBC as being outside the limits and if this is the first time it has happened to you then the med tech would look or scan a blood smear made of your blood in order to see of the machines automatic differential count was accurate.

    If the differential count has more neutrophils in it then lymphocytes (and I’m talking a high amount of neutrophils, like over 65%) then you would more than likely have a bacteria infection.

    If the differential has more lymphocytes than neutrophils (which shouldn’t happen because neutrophils are the most common leukocyte in the human body) then this would signify a viral infection. And if you are an adolescent or younger adult then it is more than likely infectious mononucleosis… If you are an adult that has an immunocompromised condition then you could still get mono. But if you are an adult, well outside the years of adolescence, then it may just be a simple viral infection like the flu or something.

    Hope this helps! 🙃

    Not specific. Interpretation must have clinical correlation. Not indicative of acute infection.

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