What does it mean when urine routine test shows high white blood cells and high epithelial cells?
May 16, 2023
Source: Cainiu Health
Dr. Yang Guang
Introduction
In general, elevated white blood cells and epithelial cells in routine urine tests may be caused by improper diet, environmental factors, urethritis, cystitis, or urothelial tumors. It is recommended to seek medical attention promptly, identify the underlying cause, and under the guidance of a qualified physician, recover through general treatment, medication, or surgical intervention as appropriate. The choice of treatment method should be based on individual circumstances.
Generally, elevated white blood cells and epithelial cells in routine urine tests may be caused by improper diet, environmental factors, urethritis, cystitis, or urothelial tumors. It is recommended to seek medical attention promptly, identify the underlying cause, and then undergo recovery through general management, medication, or surgical treatment under the guidance of a qualified physician. The specific analysis is as follows:
1. Improper Diet
Consuming large amounts of greasy or spicy foods can stimulate the body, increasing blood flow velocity, which may lead to elevated white blood cells and epithelial cells in urine tests. This condition typically does not present obvious accompanying symptoms. It is advisable to adjust dietary habits by reducing intake of irritant foods and increasing consumption of vegetables, fruits, and other foods rich in vitamins and dietary fiber. Additionally, maintaining regular sleep patterns and engaging in moderate physical activity is recommended.
2. Environmental Factors
If one is exposed to extremely cold weather for prolonged periods, the body may accelerate blood circulation. This increased blood flow can result in physiologically elevated white blood cell levels, leading to higher white blood cell and epithelial cell counts in urine tests. This is generally considered normal; however, it is still advisable to avoid extreme weather conditions to prevent discomfort.
3. Urethritis
In women, inadequate hygiene around the urethral opening may allow bacteria to invade the urethra, triggering an inflammatory response in the body. White blood cells increase as they work to eliminate the infection, resulting in elevated white blood cells and epithelial cells in urine tests. Treatment may include oral medications such as amoxicillin capsules, ampicillin capsules, or acetaminophen tablets, as prescribed by a doctor.
4. Cystitis
When the bladder is affected by inflammation, white blood cells in the urine work to eliminate bacteria and inflammatory agents, causing an increase in their number. During this process, epithelial cells may also slough off, leading to elevated levels of both white blood cells and epithelial cells in urine tests. Medications such as cefdinir dispersible tablets, cefradine capsules, or aspirin effervescent tablets may be taken orally under medical supervision.
5. Urothelial Tumor
The presence of a tumor in the body, particularly due to tumor necrosis, can also cause an increase in white blood cells, resulting in elevated white blood cells and epithelial cells in urine tests. Prompt medical evaluation is recommended, with primary treatment involving surgical removal, supplemented by radiotherapy or chemotherapy if necessary.
When treating elevated white blood cells and epithelial cells in routine urine tests, individuals should choose appropriate therapies based on their specific condition. At the same time, maintaining healthy lifestyle habits and a positive mental state is essential.
