In elderly individuals, how many white blood cells in urine sediment are considered to have pathological significance?

May 16, 2023 Source: Cainiu Health
Dr. Zhao Xinju
Introduction
In elderly individuals, the presence of more than 5 white blood cells per high-power field (HP) in urinary sediment has pathological significance. A count exceeding 5/HP suggests possible conditions such as nephritis, kidney stones, or urinary tract infections. To restore normal levels, one should first modify dietary habits. If symptoms are severe, prompt medical consultation and active treatment are necessary.

Under normal circumstances, the presence of more than 5 white blood cells per high-power field (HP) in urinary sediment of elderly individuals is considered to have pathological significance. The detailed analysis is as follows:

The normal value for white blood cells in urinary sediment is less than 5/HP. A count exceeding 5/HP may indicate potential health conditions such as nephritis, kidney stones, or urinary tract infections. These abnormalities may be related to daily lifestyle habits; for example, long-term consumption of spicy and stimulating foods, chronic sleep deprivation, smoking, and excessive alcohol intake can all affect urine composition. A significant accumulation of white blood cells in the urinary tract may lead to noticeable changes, causing discomfort or even triggering urethritis.

If symptoms are mild and the goal is to restore balance in test values, initial improvements should focus on dietary adjustments. It is recommended to consume more bland foods to enhance gastrointestinal digestion, drink plenty of water to promote metabolism, reduce intake of highly stimulating and greasy foods, engage in moderate exercise to strengthen immunity, and ensure adequate sleep. If symptoms are severe, prompt medical evaluation and active treatment at a hospital are necessary.


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