Is a urine routine test result of 3 plus signs serious?

Aug 12, 2024 Source: Cainiu Health
Disease description:

Two days ago I went to the hospital for a medical checkup, and today I received the results which show three positive indicators. I have never had this situation in previous checkups. I would like to ask if this condition is serious?

Doctor's answer (1)
Dr. Cao Zhiqiang

A result of three plus signs in a routine urinalysis usually indicates abnormalities in certain parameters, but whether the situation is serious needs to be determined based on the specific parameter involved and the patient's overall condition.

In urine analysis, common indicators include protein, white blood cells, red blood cells, ketones, and glucose. If three plus signs (+++) are detected for protein, white blood cells, or red blood cells, it may suggest more severe kidney disease, urinary tract infections, or other related conditions.

If three plus signs are found for urinary protein, it may indicate a significant amount of protein in the urine, often associated with glomerulonephritis, nephrotic syndrome, or kidney damage caused by conditions such as diabetes or hypertension.

If three plus signs appear for white blood cells or nitrites, it may indicate a urinary tract infection, which typically requires treatment with antibiotics or other medications. Three plus signs for occult blood in urine may suggest hematuria, which can be caused by various factors including urinary tract infections, urinary stones, urinary tract tumors, nephritis, and other conditions.

If there are any concerns, timely medical consultation is recommended.