Urine test: one plus for urobilinogen, plus or minus for protein, small round epithelial cells

Patient's question:

I am 20 years old, male. Recently, I felt that my urine was slightly red. At first, I took some levofloxacin, but then I thought it would be better to get a check-up. The urine test showed plus signs for urine protein and urinary bilirubin, and 4 small round epithelial cells. What is this disease? Is it nephritis? What should I do? What medication should I take?

Doctor's answer:

In your case, it may be glomerulonephritis. Glomerulonephritis is a non-suppurative inflammatory lesion of both kidneys. Due to damage to the glomeruli, symptoms such as edema, high blood pressure, and proteinuria may occur, making it the most common type of kidney disease. There are many types of nephritis, including acute nephritis, chronic nephritis, pyelonephritis, occult nephritis, allergic purpura nephritis, and lupus nephritis. It is recommended to first perform a kidney biopsy for diagnosis and then treat according to the symptoms.

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