The presence of pus cells in urine is usually an infection affecting the body. Pus cells in urine can be detected with the analysis of urine. One of the best and cheapest tests, that is available for analysis of urine is a test called urinalysis. This test can help in the identification of glucose in urine, pus cells in urine, crystals in urine and blood in urine, as well as the presence of other toxic and unwanted substance in urine.
When a disease is affecting the body then it can lead to elimination of pus cells in urine. The medical term used to describe the passing of pus cells in urine is pyuria. The condition is of two types, i.e. gross pyuria and microscopic pyuria. The occurrence of pus cells in urine can give a cloudy or purulent appearance
Pus cells in urine signify the presence of abnormal white blood cells and/or possible infection affecting the body. This is truer when bacteria are also found in urine. Pus cells in urine can also point to an infection or inflammation of the bladder of the kidneys. The urine has to pass via the kidneys and the bladder before getting removed from the body. Hence, there may be a possibility of the pus cells to be passed into the urine from the kidneys or the bladder.
One cannot identify the condition affecting a patient only by detecting the presence of pus cells in urine. When pus cells are found in urine, then further testing like urine sensitivity and culture testing as well as a complete blood test may be recommended by a doctor for finding out the underlying disease causing pus cells in urine.
Pus cells in urine – normal range
Pus cells in urine during pregnancy
Pus cells in urine of pregnant women are normal, as long as it does not exceed the range of 10 pus cells per HPF. The normal range should be between 5 to 10 pus cells per ml only, a higher number can be cause for urinary tract infection or pyuria. Other conditions that can be caused due to pus cells in urine including kidney stones, bladder inflammation and interstitial cystitis.
Symptoms of pus cells in urine
The presence of pus cells in urine may not result in any visible or outward symptoms in the affected patient. However, some of the signs and symptoms of pus cells in urine which may gradually become obvious are listed below:
- Presence of abdominal cramps
- Pain or burning sensations may be experienced during urination
It may be noted that the above symptoms are common for a number of ailments. However, patients must immediately seek medical attention when confronted with such symptoms, for evaluation and treatment.
Causes of pus cells in urine
Pus cells in urine may be caused due to the following reasons:
- Bacterial infections of the urinary tract: It is the most common reason for pus cells in urine. Any component of the urinary system, including the kidneys, bladder, urethra, etc. can be infected by bacteria. However, cystitis or infection of the bladder is normally the main culprit causing pus cells in urine. UTIs are not serious and easily treated with antibiotics
- Urinary tract infections can also occur due to causes other than infections by bacteria. A few such causes include:
- Other microbes: There are a few types of microorganisms, such as sexually transmitted organisms, which remain unobserved in a urine culture test performed for determining the existence of bacteria in urine. In such a case, a doctor will normally suggest a battery of other tests to detect the presence of these microbes which are causing the infection as well as pus cells in urine
- Kidney diseases: There are a number of kidney diseases such as renal papillary necrosis, lupus nephritis, polycystic kidneys, etc. which affect kidney function and result in the elimination of pus cells in urine, besides other symptoms like proteins and blood cells in urine.
- Tuberculosis: Patients affected by TB of the urinary tract may discharge pus cells in urine. A urine sample of such individuals may not show the occurrence of bacteria and hence other tests are carried out to identify their presence in urine.
- Kidney stones: It is a condition of the kidneys that may result in the discharge of pus cells in urine along with bloody urine
- Interstitial cystitis: It is a non-infectious disease that occurs in mostly in women than men and results in inflammation of the bladder. This condition cannot be identified with the help of a urine test conducted to investigate the cause of pus cells in urine.
- Prostate inflammation: It is also a cause of pus cells in urine in men.
- Disease affecting other organs: When the organs situated near the urinary tract are affected by medical conditions, then it can sometimes lead to the development of pus cells in urine
- Cancers: Cancers affecting the bladder or the kidneys can result in pus cells in urine along with blood in urine. These types of cancers normally tend to occur in people over the age of forty years
- Other reasons: Dehydration, intake of certain medications, stress and even extreme exercising can occasionally cause pus cells in urine. It may be noted that pus cells in urine can also result from any type of surgery that involves the urinary system, even when infection is not present.
Treatment of pus cells in urine
- The treatment for the condition of pus cells in urine involves finding out the cause of the condition and then taking the necessary steps to remedy it.
- Bacterial infections of the urinary tract can be treated with antibiotics
- The docto can prescribe a urine alkalizer (systemic alkalizer) to reduce the acidity and pus cells in urine.
- Kidney stones and tumors may require surgical treatment