Unqualified urine routine during the entry physical examination

Unqualified routine urine examination may be related to urinary tract infection, nephritis, diabetes and other factors. It is recommended to recheck and improve urinary system ultrasound, blood glucose detection and other examinations in a timely manner. Common causes of abnormal urine routine include positive urine protein, positive urine occult blood, positive urine glucose, and elevated urine white blood cells.

1. Urinary tract infection

Urinary tract infection may lead to elevated white blood cells and positive nitrite levels in urine. Common symptoms include frequent urination, urgency, burning sensation during urination, and some patients may experience lower abdominal pain. Medications such as levofloxacin hydrochloride tablets, cefuroxime dispersible tablets, and phosphomycin tromethamine powder can be used for treatment according to medical advice. It is recommended to drink more than 2000 milliliters of water per day to avoid holding urine.

2. Nephritis

Glomerulonephritis or interstitial nephritis often presents as positive urine protein and abnormal urine red blood cells. May be accompanied by eyelid swelling, lower back soreness, and in severe cases, hematuria. 24-hour urine protein quantification testing is required, and doctors may prescribe medications such as Huangkui capsules, valsartan capsules, and Bailing capsules. During the acute phase, salt intake should be limited to no more than 3 grams per day.

3. diabetes

When blood sugar is not well controlled, positive urine glucose may occur, which may be accompanied by abnormal ketone body. Typical symptoms include excessive drinking and urination, weight loss, and some patients may experience skin itching. Diagnosis requires glycated hemoglobin testing, and treatment drugs include acarbose tablets, glimepiride tablets, and metformin hydrochloride sustained-release tablets. Daily monitoring of fasting and postprandial blood glucose levels is necessary.

4. Physiological abnormalities

Transient urinary protein positivity may occur after intense exercise, and female menstrual periods can easily lead to false positive urine occult blood. Eating a large amount of high sugar foods before the examination may interfere with urine sugar results. It is recommended to maintain a normal diet for 3 days before the physical examination, avoid menstrual follow-up, and collect mid morning urine samples for testing.

5. Other diseases

Urinary system stones may cause an increase in urine red blood cells, accompanied by renal colic attacks. Uric acid salt crystals in patients with hyperuricemia may lead to abnormal urine pH. Based on ultrasound examination, the doctor may prescribe medications such as potassium sodium citrate granules and febuxostat tablets. It is recommended to drink at least 2500 milliliters of water per day. Individuals with abnormal urine routine should avoid high salt and high sugar diets, limit the intake of animal organs and seafood. It is recommended to choose cotton breathable underwear to keep the perineum clean and dry. Stop using vitamin C preparations 3 days before the re examination, clean the external genitalia before urination, and collect fresh specimens within 1 hour after urination for testing. If the abnormality persists, further examinations such as urine culture and renal function should be conducted.