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Leukocytes in Urine during Pregnancy
Your developing baby is going to demand a lot from your body and to make sure that your baby's growth and development is taking in the right manner, you will have to visit the doctor for regular check-ups. Many tests will be performed during every visit, however, one of the tests that you will need to take at every check-up is a urinary test. This can help detect the level of leukocytes in the urine, making the doctor able to tell you if you have any infections that will need treatment.
What Are Leukocytes in Urine?
Leukocytes are white blood cells that work side by side with the immune system and defend the body from infections and diseases. They appear when there is damage to the kidneys and urinary system and when foreign materials enter the body.
When leukocytes damage or when they are killed while fighting off infections, they are expelled from the body through the urine, signifying a low level of leukocytes in the urine. The average level of leukocytes that should be present in the urine is between 2 to 5 WBCs/hpf. However, if the level of leukocytes rises and goes above 5 WBCs/hpf, it may be a sign of infection or disease and must be investigated.
What Causes Leukocytes in Urine During Pregnancy?
There are many reasons why the number of white blood cells increases in pregnant women, the most common being when there is some sort of infection in the vagina, which if left untreated can develop into something far more serious. Some of the main causes of Leukocytes in urine during pregnancy are discussed below:
1. Urinary Tract Infection
Leukocytes are usually present in the urine if you are suffering from UTI. When a woman is pregnant, there is an increase in the bladder volume, but the tone will be reduced due to the weight of the baby pushing down on it. It is very difficult in this situation to completely empty the bladder, and so the bacteria may never fully leave the system. Instead, it multiplies.
2. Asymptomatic Bacteriuria
When there are bacteria in the uterus, it is called asymptomatic bacteriuria. About 30% of pregnant women may have a bacterial infection in the urinary tract but show no symptoms. These can cause leukocytes to manifest in the urine. If left unchecked, this causes pyelonephritis in pregnant women, and it is because of this it is important that doctors perform a routine urine test for them.
3. Genital Infection
Sexually and non-sexually transmittable infections may lead to the presence of white blood cells in the urine of a person. Some of the infections that can cause leukocytes to appear in the urine of pregnant women are Chlamydia, vaginal yeast infection, bacterial vaginitis, gonorrhoea and genital herpes.
4. Kidney Infections
Kidney infections, or pyelonephritis, develops when urinary tract infection is left untreated in pregnant women. This is a serious condition that must be treated at the earliest to avoid preterm labour or premature rupture of the membranes. Kidney infections can cause leukocytes to appear in the urine and may cause fever, lower back pain and vomiting. Pregnant women often suffer from this more than others as the growing foetus squeezes against the kidney and bladder as it gets bigger.
5. Cystitis
This is a type of urinary tract infection that leads to the bladder becoming inflamed and causes the number of white blood cells in the urine to rise. The cause of this is bacteria and causes similar symptoms as UTI, but there is also lower back pain and discomfort in the pelvic region. If inflammation is severe, a trace of blood and leukocytes in urine during pregnancy can be found.
Signs and Symptoms of White Blood Cells in Urine while Pregnant
Most often, the signs and symptoms will vary depending on what is causing the rise in leukocyte levels. Some of the main symptoms of leukocytes in urine during pregnancy are:
Burning sensation while urinating
Frequent urination
Unable to empty bladder
Foul smelling urine
Cloudy looking urine
Lower back pain
Weakness and fatigue
A low fever may occur
Nausea and vomiting
Diagnosis
One of the most outstanding causes of an increase in leukocyte levels is due to a urinary tract infection.
1. How To Measure
A urine culture and sensitivity examination should be done to see if any bacteria are present in the urinary system. Your white blood cell count will be taken to help detect any infections that are hidden in the body. Pregnant women are allowed an increase in leukocytes to 5-6 in the field of vision, but this depends on if all other indicators remain unchanged. An increase to 10-20 indicates that there is most likely an inflammation somewhere in the excretory system. If the number goes up to 40-50, then this is an indication that the kidneys have been infected.
2. How To Analyse
If the result of the WBC count is either higher than or lower than the normal count that is needed for your age, then there is most likely an underlying problem. During the first trimester, the test is done every three to four weeks, during the second trimester it is done every two weeks, and by the third trimester, it is done every week. The analysis will require the first urine of the morning to be collected in a jar that has been sterilized to avoid contamination of the sample. Your doctor will also need to know all about your medical history, any medications that you are currently on and your symptoms to accurately identify what is causing the abnormal WBC count. Your WBC will also need to be checked at regular intervals to ensure that the treatment plan you have been put on is working or not.
3. Instrumental Diagnosis
This is usually an ultrasound where the bladder, urinary tract, and kidneys are studied. Any enlargement in the pelvic region will be clearly visible. Ultrasounds can detect the neurogenic bladder, polycystic kidney disease, and obstructive uropathy. A survey monography is also available that will show any change in the contour or positioning of the kidneys. Radiopaque methods are quite popular, and computed tomography can be used, but it does not have any special features or abilities that cannot be provided by an ultrasound.
4. Differential Diagnosis
In this, a clinical analysis of the urine is done where any increase of white blood cells can be seen. These analysis are compared with that of a woman’s general condition and her complaints. An anamnesis is available to help identify the cause of the condition. Sowing is a process that is carried out along with the urine analysis. Here the main pathogen is identified, and the right therapy is selected. Unfortunately, this does not always deliver accurate results. At least 20% of the results are false positives in this research, and so the test must be taken at least thrice before coming to any concrete result.
Effects and Complications
Treatment must commence immediately if you have been found with high levels of leukocytes and the doctors have determined their cause. If, for example, you have been found to have pyelonephritis, your doctors will start you on certain antibiotics that should be taken while carefully following the doctor’s instructions to avoid further complications with the pregnancy.
Eclampsia is another complication that may arise, and it causes a rise in blood pressure. Careful monitoring of your condition during pregnancy can save your baby’s life by avoiding the development of serious complications.
The cause of an increase in leukocytes depends on a person's condition. For example, if cystitis is a problem, it may turn serious as urination can be very painful. Further development of this can turn into gangrenous cystitis, where the pain will be intense, and there is a complete inability to urinate, putting your bladder and peritonitis at risk of rupturing.
Some infections will leave behind a residue of stone and sand as well. It is highly important to treat any problem at the earliest to avoid some very unpleasant and dangerous complications.
How To Treat Leukocytes in the Urine
There is no fixed method of treating the condition of an increased level of leukocytes in the urine. The treatment will vary depending on an individual’s levels of leukocytes as well as based on the cause of the issue.
1. Natural Disinfectants
If the inflammation is not serious, it can be treated with natural disinfectants and diuretics. Most pregnant women will be advised to drink decoctions of chamomile, black currant, and cowberry. The urine will be encouraged out of the body with these, decreasing the chance of developing more serious infections.
2. Antibiotics
If the inflammation is more serious, antibiotics will need to be administered, but the antibiotics used will need to be safe for your baby as well. The antibiotics and the decoctions will help eliminate the infection and prevent more serious complications in your pregnancy.
3. Surgery
If you have an obstruction such as kidney stones or a tumour that is causing the rise in leukocyte levels, you will most probably need surgery to remove the obstruction. Drink plenty of water to try and get rid of the smaller kidney stones, though passing it naturally is quite painful.
4. Sound-waves, Chemotherapy, and Radiation
For larger kidney stones, sound waves can be used to break them up. Chemotherapy and radiation are other options to look at in case of tumours.
Prevention
Here are some ways to prevent the rise of leukocytes in the urine:
Go for regular urine tests.
Drink a lot of water to flush out the bacteria and the toxins from the body.
Urinate often and regularly.
Maintain personal hygiene by washing your hands before you use the restroom, as well as by keeping your genitals clean after you have relieved yourself. When wiping, wipe from front to back.
FAQs
Here are some frequently asked questions about the rise in leukocytes:
1. Can Increased White Blood Cells in Urine Indicate Blood Leukemia?
Yes, an increase in the number of WBC in the urine can indicate the presence of Leukemia, a form of blood cancer. Elevated leukocytes in the urine are used to diagnose Leukemia and Lymphoma.
2. Can Elevated Number of WBCs in Urine Lead to STD Infection?
STDs such as Gonorrhoea and Chlamydia leave traces of elevated quantities of WBCs in the blood which is found through the urine. This is why elevated traces of WBC can be an indication of an STD.
3. Can Leukocytes in Urine Cause Foetal Death If Left Untreated?
There are cases where the rise in the number of leukocytes in the blood are associated with late toxicosis and other rather serious inflammatory problems. Women who have this are plagued with fatigue and increased pressure, and the risk of losing the baby is possible. If the leukocytes esterase in urine during pregnancy and the inflammation is detected on time, then there is no risk, but if left untreated, the child will be at risk, and there are high chances of complications during childbirth.
The most important thing is to identify and treat any rise in levels of leukocytes in the urine. If this is not done, it can have a very negative impact on your health and the life of your unborn child. Rest assured that most often, the abnormal WBC count will be noticed at the earliest as routine urinary tests are a part of the general check-ups for pregnant women. But if treatment is not followed regularly and care is not taken, the situation can worsen. So make sure you don’t miss any of your prenatal doctor's appointments and follow your doctor's instructions carefully when given.
Also Read: CBC (Complete Blood Count) Test in Pregnancy Read more
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Miracle Food That You Should Have for a Healthy and Happy Pregnancy
Pregnancy is the time when people around you pamper you a lot and take extra care in what you eat during this time. I have been fortunate to have a set of doting parents and a caring husband around me to help me stay fit and healthy during my pregnancy.
Each one of us dreams of a healthy and happy pregnancy throughout the 40 weeks time. You have to be careful with your food choices during this time, as the saying goes "You should eat for two". While we might challenge the reliability of this theory, but if we try to decode this, it's not about the quantity of food we should be concerned about but the quality of food which we eat actually makes the difference.Your food choices affects the overall growth and development of the fetus.
I had a very smooth and healthy pregnancy and gave birth to a healthy child through normal delivery. I incorporated few food items on a daily basis in my diet, which helped to keep common problems of pregnancy at bay.
I use to start my day by drinking coconut water in empty stomach. Coconut water helped me fight the heartburn and nausea. It also kept urinary tract infections at check, which is very common during pregnancy.
As a mid morning snack I had beetroot and pomegranate juice. Both helped in keeping good blood count and avoiding anemia.
During my Iunch I always made it a point to have karela(bitter gourd), which helped me keeping my blood sugar levels in control. I took boiled and mashed Karela with rice. This was something I took religiously and never gave it a skip.
Along with bitter gourd I also took ghee which is known for building immunity and helps in solving digestive problems. As I was gaining weight rapidly, I took ghee in moderation, like 1 tbsp daily.
Saag (leafy vegetables) was one more item which i ate everyday in my lunch. Saag is a rich source of fibre and folate which helps to maintain good iron levels.
I always wanted a normal delivery and had learnt that dates help in contractions and creates elasticity in vagina. I ate dates in my third trimester and it really did help me during my labor.
Constipation is something which is very common during pregnancy. I did have an external haemorrhoids before pregnancy, but didn't face any discomfort during pregnancy. To ensure good bowel movements I had figs daily at night. It helped in having regular bowel movements.
I enjoyed my pregnancy and alongwith healthy food I did indulge in outside food. The key is to have outside food in moderation , as you are bound to get the craving for some food or the other. Choose good restaurants, which are hygienic and safe.
Above all stay happy. It works wonder!
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her. Read more
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Follow his Scent-sign to Woo Him
The Egyptians and Indians alike have always known about scents that seduce men. Now, you can make this love potion doubly potent by using the power of zodiac fragrance on your guy. Spray generously and he’ll never know what hit him!
You check his horoscope daily to make sure his day goes smoothly. Besides fate, his zodiac can also teach you a thing or two about the scents that turn him on. Yes! You heard that right! You’ve always known that there are some scents that have him sniffing the air (so to say) appreciatively. Well, now you know the reason. Get set to learn how to woo your husband using zodiac fragrances and get him in the mood for some love.
Choosing a Perfume by Zodiac Sign to Woo Him
1. Aries
The bold and aggressive Ram likes seizing the moment with both hands. Spicy and oriental scents hit the right note with these impressive individuals. You can truly try your Aries man’s patience by wearing something sexy and splashing on something spicy and bold. Carpe Diem baby!
2. Taurus
The bull-headed Taureans are attracted by warm earthy or woody fragrances. The oriental notes are also scents that seduce men of this zodiac. You can try experimenting with some floral scents, but definitely avoid fruity ones like rose or vanilla.
3. Gemini
The dual personality of the Gemini man is easily seduced by the flirtatious notes of fruity or lemony scents. They are ones who believe in mixing things up, so you can go wild trying any of the seductive perfumes for women you've been either told about or read about in a magazine.
4. Cancer
The melancholic and emotional crab likes soothing scents that make them feel comfortable. The romantic side of them finds the floral notes of jasmine, vanilla, white musk and sandalwood very appealing. Looking for perfumes that drive men crazy? Then go for fragrances that are light yet sophisticated enough to engage these sensual men.
5. Leo
The larger-than-life approach of the Leo is matched by the dramatic overtones in the scents. Honestly speaking, the fancier the name and packaging, the more they will like it. Still, when picking a scent to tame the lion you can never go wrong with a floral or fruity perfume.
6. Virgo
The perfectionist, the zodiac fragrances for these men must be clean and fresh. They like subtle and sensual notes over strong scents. Pick up earthy perfumes to seduce your Virgo man.
7. Libra
The one-of-a-kind Libran likes a balance in everything even their choice of fragrances! They like soft and cheerful notes over strong ones. So, if you’re really trying to impress him, choose perfumes that have a sensual undertone.
8. Scorpio
Ignite the exotic passion of the Scorpion using seductive floral scents. They are mysterious and the spicy notes of black pepper or the earthy ones of musk and chocolate are sure to get them raring to go. You can also add in a dash of exotic by splashing on some lotus or jasmine scents.
9. Sagittarius
Just like their sign says, the Archer prefers perfumes that are not messy. A fresh and natural scent hits the bulls’ eye for them. You could try the energizing notes of cherry blossoms, ginger, white tea or even melon to drive them into a tizzy!
10. Capricorn
The goats like to take things nice and slow. Anything that’s completely in-your-face is bound to not find favor with them. Stick to the warm and earthy scents of honeysuckle, green tea or warm woods and you’re good to go!
11. Aquarius
The quirky water-bearer is not easily pleased with the tried and tested methods. You need to do something unconventional to catch their attention. Choose lotus leaves, sweet vanilla or crispy citrus scents to create that unique fragrance that would be hard to resist!
12. Pisces
The dreamy fish is always lost in a world of their own. The sound and smell of the ocean attracts them. Look for soft scents with unusual oceanic or liquor notes and get set to bedazzle your partner.
Now that you’ve unlocked the secret of the zodiac fragrances, let the aroma work their magic! A spritz of the magical stuff and you’ll have your man following you around town. Read more
Rashmi has added a new answer
Guardian of 0 children
5 hours ago
Q. I am 28 weeks pregnant and layed on my stomach for few seconds. is it worrisome?
Rashmi
Mom of a 9 yr 8 m old girl
5 hours ago
A. If it was just a few seconds and it is not going to make a difference yet if you want to be more sure about it if it is more for you then you can get an ultrasound done with your doctor but as far as I know few seconds are not going to make any difference but still you can check with the doctor
Dr Ghouse has added a new answer
Guardian of 0 children
3 hours ago
Q. which soap is better tedibar or sebamed?
Dr Ghouse
Paediatrician
3 hours ago
A. no problem u can use anyone. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
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Trying To Conceive
2 hours ago
Q. Hi, are matte sunscreens suitable for oily skin? I am a new mother and I have to join office after my maternity leave, please suggest me a good one.
Rashmi
Mom of a 9 yr 8 m old girl
1 hour ago
A. Cetaphil SPF 50 sunscreen lotion is going to be a very good choice for you to use for your skin it’s one of the best things that you can currently use and I’m very certain it is going to be good for your skin options also otherwise if you want you can try consulting a dermatologist for that
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Expecting Mom due in 2 months
52 mins ago
Q. can i use pain relief spray at time of pregancy
Rashmi
Mom of a 9 yr 8 m old girl
2 mins ago
A. It is an external thing that you are using not at all problem the problem is if you take any medicine without your doctors consult we do not consider it right neither as your doctor but an external spray is not a problem
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Guardian of 0 children
48 mins ago
Q. hi iam 13th week pregnant my mind is completely in pressure stress and I cried alott does this affect my baby or baby growth
Rashmi
Mom of a 9 yr 8 m old girl
19 mins ago
A. All the emotions that you feel and you go through during the time of pregnancy actually affects your child as well after first semester the child takes a better route of the body starts becoming they catch all the emotions and the feelings and negativity positivity everything that you have.. so you need to be more focused and particular about your feelings this time
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Mom of a 1 yr 8 m old child
34 mins ago
Q. #asktheexperts 300 vochure
Rashmi
Mom of a 9 yr 8 m old girl
4 mins ago
A. If you have any question concerning the parenting platform then please feel free to post your question once I know what are you willing to ask with all the necessary details associated it will be easier for me to give you appropriate help and response onto your question
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