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IloveHistory
01-27-2007, 04:20 PM
Hi!

I have terrible problems with my bladder and kidneys, which get infected every two weeks (I am NOT joking!). I also had kidney stones two months ago (and am sixteen years old! :shock:).

However, every single time they test my urine, whether there is an infection or not, there are white blood cells in it. I am currently on antibiotics for a kidney infection and had blood present in my urine with nitrites and white blood cells on Wednesday.

I had a C.T. Scan done of my Urinary System approximately three weeks ago and apart from a few radiopaque tablets in my bladder, it was normal.

I also often have fairly high amounts of Creatinine in my blood, although I also have electrolyte imbalances and endocrine problems, which could be partially responsible. I suffer from Orthostatic Hypotension and have EXTREMELY low blood pressure (I frequently pass out due to this), but when the Creatinine level in my blood is high, so is my blood pressure! :shock: :? Is this connected in any way or normal?

I was just wondering, is it normal to ALWAYS have white blood cells and moderate amounts of protein in your urine? Does anyone else have this?

Keep well! :)

Saysusie
01-28-2007, 09:40 PM
Hi :lol:
The presence of abnormal numbers of white blood cells in the urine is important and should not be taken lightly. It can be as simple as being caused by vaginal secretions to being as serious as possibly meaning that there is kidney disease or an infection of the kidney, the bladder, or in the urinary tubes (upper or lower urinary tract). The presence of abnormal numbers of white cells in the urine is referred to as pyuria (pus in the urine). Greater numbers (pyuria) generally indicate the presence of an inflammatory process somewhere along the course of the urinary tract. Non-septic causes of inflammation, such as uroliths and tumors, also must be considered. Your doctors might consider further urinalysis to examine your urine for various cells and chemicals. Blood tests may reveal kidney disease if the blood contains high levels of wastes that the kidneys are supposed to remove. An intravenous pyelogram (IVP) is an x ray of the urinary tract. An IVP may reveal a tumor, a kidney or bladder stone, an enlarged prostate, or other blockage to the normal flow of urine. A cystoscope can be used to take pictures of the inside of the bladder. It has a tiny camera at the end of a thin tube, which is inserted through the urethra. A cystoscope may provide a better view of a tumor or bladder stone than can be seen in an IVP.
Creatinine is a chemical waste molecule that is generated from muscle metabolism. Creatinine is produced from creatine, a molecule of major importance for energy production in muscles. Approximately 2% of the body's creatine is converted to creatinine every day. Creatinine is transported through the bloodstream to the kidneys. The kidneys filter out most of the creatinine and dispose of it in the urine. If the kidneys are damaged, the creatinine levels will rise. The kidneys maintain the blood creatinine in a normal range. Creatinine has been found to be a fairly reliable indicator of kidney function. As the kidneys become impaired the creatinine level in the blood will rise. Abnormally high levels of creatinine is a reliable warning of possible malfunction or failure of the kidneys, sometimes even before you feel any symptoms. It is for this reason that standard blood and urine tests routinely check the amount of creatinine in the blood.
Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dl) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females. (In the metric system, a milligram is a unit of weight equal to one-thousandth of a gram, and a deciliter is a unit of volume equal to one-tenth of a liter.) Creatinine levels that reach 10.0 or more in adults may indicate the need for a dialysis machine to remove wastes from the blood. Certain drugs can sometimes cause abnormally elevated creatinine levels.
Researchers have found that patients who have an exaggerated blood pressure response to mental stress tests also had a greater chance of having hypertension and higher serum creatinine levels. It has also been found that there is a relationship between renovascular disease, blood pressure, and renal function ( Increasing serum creatinine level was influenced strongly by increasing blood pressure). So, it is believed that blood pressure elevations, even below the hypertensive range, may induce early renal damage!
I hope that I've answered your questions. Please let me know if you need anything further!

Peace and Blessings
Saysusie

IloveHistory
01-29-2007, 05:43 AM
Hi Saysusie!

Thanks SO much for all of your time and wonderful information! :D

I am really cross because my Urologist ALWAYS sends my urine away for Microscopy - seriously, even if nothing shows up in the Urinalysis - but G.P.s never seem to send my urine away for me! :x On Wednesday night, the G.P. found quite a lot of blood in my urine, but he didn't send it away! Aaaaaaaagh! :mad: My Paediatrician/Paediatric Cardiologist is furious that they didn't send it away!

Keep well! :)

littlered
01-29-2007, 11:06 AM
Yes, I know the feeling. My doc always took the fact that I always have protein and blood in my urine (no stones, though)--I had an appointment with a nephrologist but had to cancel because I was sick with an intestinal thing. I am sure the nephrologist won't take it so lightly.
Wouldn't it be cool if they had "Lupus Centers" where there was an Internal Medicine doc, a Nephrologist, a Rheumotologist, and all the other docs we need all in one convenient place?????????

IloveHistory
01-29-2007, 01:10 PM
Hi Littlered!

:lol: You're right! That would be fantastic! :D :wink: We could see all of the specialists that we needed at the same time! :wink: :lol:

mnjodette
01-29-2007, 08:06 PM
Oh, what a dream that would be Kathy! My greatest frustration (and the same for all of us, I guess) is trying to get the docs on the same page. Maybe we could throw a party and invite them all - at least they'd be in the same room. :lol:

littlered
01-30-2007, 09:35 AM
mnjodette, with as many of us that have Lupus, there's definitely a "market" for such places. think about it, it just makes good sense. ALL of our medical records would be in the same place, so the docs could just access them if they didn't have time to talk to each other. They could have a lab in the same building, so no "sending samples out" and having to wait. No need for "referrals." shoot, they could even have a pharmacy in the same facility. sighhhh, I'm dreaming, huh?

mnjodette
01-30-2007, 04:14 PM
There's definitely talk about standardizing the automation of medical records so all docs can access them (via the web.) Of course, the privacy concerns and possible tampering are super hot button issues when you talk about that kind of thing. Still, those of us who deal with chronic illness and who need to work with lots of different docs can sure see the need for a system like that.

MARYCAIN
02-01-2007, 08:37 AM
There are some major teaching hospitals that have lupus outpatient clinics where every patient is seen by all the different specialists. The Lupus Center of Excellence in Pittsburg has rheumatologists, cardiologists, nephrologists, immunolgists, and pain management specialists all in a "one-shop stop". So if anyone lives close enough to Pittsburg that it's a reasonable drive for them, they might want to check it out.

val
02-04-2007, 04:32 PM
I have had white cells and loads of blood in my urine for 4 years. i have been investigated and told as my kidney function is ok that all is ok and too my surpprise was DISCHARGED from nephrologist care. I still check my wee but would have been happier to be monitered.
val