General Medicine
Question #9004
19 days ago
59,628

Epithelial cells - #9004

Anonymously

A few weeks ago, I went for my routine check-up, and my doctor mentioned that my urine sample showed an abnormal number of epithelial cells. I’m a little confused about what this means and whether it’s something I should be concerned about. The doctor didn’t seem overly worried, but I’ve been doing some reading on it, and now I’m a bit anxious. From what I understand, epithelial cells are found in various parts of the body, like the skin and the lining of organs, but I’m still not clear about how their presence in urine could be significant. The thing is, I haven’t been experiencing any major symptoms other than some mild discomfort in my lower abdomen, but it’s nothing that I thought was serious. I’ve had this sensation before, especially after drinking too much coffee or sometimes when I’m stressed, but it always goes away after a day or so. My doctor said that a few epithelial cells in a urine sample are usually normal, but in my case, the count was higher than usual. She suggested it could just be a result of irritation in the urinary tract or possibly a mild infection. But I also read that the presence of epithelial cells could sometimes point to something more serious, like kidney disease or a urinary tract infection (UTI), and that’s what’s making me nervous. I’ve been feeling a little bit of pressure when I urinate, but no pain or burning. Sometimes, my urine looks cloudy, but I thought it was just because I wasn’t drinking enough water. Still, the idea that epithelial cells might indicate a potential issue with my urinary system has me wondering if I should be doing something differently, like changing my diet or being more mindful of how much water I’m drinking. I know I haven’t had any major infections or been to the hospital recently, so I’m not sure if this is just a one-off thing or if I need to follow up further. My doctor mentioned she would keep an eye on my next test results to see if the number of epithelial cells changes. But is there anything else I should be looking out for? Should I be testing for any other conditions that could cause these kinds of cells to appear in my urine? I don’t want to ignore anything important, especially if there’s a risk of kidney issues or infection. Can epithelial cells show up due to something as simple as stress or diet, or is there a possibility that I need to be more concerned about it? I’m just really looking for some clarification because I don’t want to keep wondering if I’ve missed something important. I’d appreciate hearing from anyone who’s had a similar experience or any advice on whether I should take additional steps.

Epithelial cells
Urine sample
Epithelial cells in urine
Urinary tract infection
Kidney disease
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
18 days ago
It’s completely understandable to feel concerned when you receive results like this from your urine test. Let’s go through what elevated epithelial cells in urine can mean and the context surrounding your situation. Epithelial cells are indeed found throughout the body, including the lining of the urinary tract. A certain number of epithelial cells in urine is considered normal, but an elevated count can indicate irritation, inflammation, or even infection in the urinary system. Given that your doctor mentioned this could be related to irritation or a mild infection, it suggests that while there may be a reason for monitoring, it might not be a cause for immediate alarm. The mild discomfort in your lower abdomen and the sensation of pressure when urinating, combined with cloudy urine, could indeed be associated with a urinary tract infection (UTI) or irritation, possibly aggravated by factors like caffeine intake or stress. Cloudy urine can often result from dehydration or the presence of substances associated with infections, so staying well-hydrated is crucial. Here’s a structured approach you can take: 1. **Hydration**: Aim to drink plenty of water daily—generally, 8-10 cups is recommended unless otherwise directed by your healthcare provider. This helps dilute the urine and flush out any possible irritants or pathogens. 2. **Monitor Symptoms**: Keep a close watch on your symptoms. If you experience worsening discomfort, develop any pain with urination, fever, chills, or blood in your urine, seek immediate medical attention as these could indicate a more serious infection. 3. **Consider Dietary Impact**: If you notice your discomfort correlating with certain foods or drinks (like coffee), consider moderating those habits to see if your symptoms improve. 4. **Follow-Up Testing**: Since your doctor mentioned keeping an eye on your results, it’s important to follow up with the next urine test as planned. Be honest with your doctor about any changes or persistently concerning symptoms. 5. **Stress Management**: Since you've identified stress as a potential contributor, employing relaxation techniques—such as mindfulness, yoga, or regular physical activity—might help alleviate some symptoms. 6. **Additional Testing**: If your symptoms persist or worsen, it may be worth discussing with your doctor the possibility of further evaluation for a urinary tract infection or additional imaging to assess kidney health. Remember, while it’s important to stay informed and proactive about your health, anxiety about these results is common. You’ve communicated with your healthcare provider, which is an important step in managing your health effectively. Trust their guidance, but also ensure you feel comfortable raising any further questions or concerns with them in future visits.
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