Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Urinalysis test with positive KETONES, BLOOD and LEUCOCYTE ESTERASE.

Resolved Question:

Hi I received a urinalysis test result with abnormal +2 ketones, +1 blood, 2+ leukocyte esterase, and above high normal 2+ WBC. No bacteria seen. This test was done at the same time as a fasting blood test. I did eat right before the urinalysis but after the blood work was taken. I had my period at the time but did try to clean the area best as possible before yielding the urine for the test. I have a history of UTIs but have no symptoms currently. This was a routine check up and I have had no other types symptoms either. What does this indicate? I do not have diabetes in my family and have not been diagnosed. Attached is the full report for blood work and urinalysis.

Category: Family Physician-GP

Ask Your Own Question

Category: HIV- AIDS Specialist
 31 Doctors Online

Hello.
Thank you for your query at DoctorSpring.com.
I understand your concern.I have gone through all your test results and they do not indicate anything abnormal with you.
- The positive ketones in urine are because of your fasting state. Fasting/starvation results in breakdown of fats and production of ketones which are excreted in urine. Eating right before the urinalysis would not affect the already present ketones in your urine.
- The blood as well as the positive RBCs are due to contamination with menstrual blood which is inevitable despite cleaning up.
- Above high normal WBCs in the absence of bacteria is known as sterile pyuria. In your case this could be due to contamination of the urine sample with vaginal leukocytes since you are menstruating. Leukocyte esterase test corresponds to pyuria, meaning it will be positive if WBCs are positive.
- The only other positive test you have is a reactive HBSAg Antibody test which is can be so if you have been vaccinated against Hepatitis B.
So in summary you do not have Diabetes or UTI or anything else for that matter.
I hope this was helpful. Feel free to ask queries.
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news