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Early Kidney Health Warning: What Epithelial Cells in Urine Mean and When to Consult Experts

Kidney health often goes unnoticed until problems become severe. One of the first signs of potential kidney issues can be detected in a simple urine test—epithelial cells in urine. 

Even though these results are usually overlooked, they can be used to recognise kidney problem symptoms, avoid complications, and advise on timely medical consultation.

In India, where conditions like diabetes, hypertension, and kidney stones are common, awareness about kidney health is crucial. Chronic kidney disease (CKD) affects more than 17% of the Indian population, as stated by the Indian Society of Nephrology. 

Most patients are not aware of their condition until it is too late to treat them. Adding to this, research shows that every tenth adult in India is at risk of kidney-related disorders, highlighting the urgent need for regular urine and blood tests.

Read this blog to learn what the presence of epithelial cells in urine says, the signs that should make you worry, and, most importantly, when to consult a kidney specialist or visit a urology hospital.

At HCG Hospitals, a leading urology hospital in India, we offer comprehensive kidney care solutions. If you are looking for the best kidney specialist in India, visit HCG Hospitals today.

Understanding Epithelial Cells

Epithelial cells are those that cover the surfaces of organs such as the urinary tract. It is normal to have some epithelial cells in urine since they are naturally excreted by the body. However, a higher epithelial cell range in urine may suggest an infection, inflammation, or underlying kidney problem.

Urinalysis is important in the early detection of abnormalities that may not be accompanied by obvious kidney disease symptoms. The number and kind of epithelial cells are what doctors normally use to decide whether they should carry out additional tests.

Types of Epithelial Cells

The type of epithelial cells found in urine plays a major role in diagnosis:

  1. Squamous Epithelial Cells
  • These cells line the urethra, the outer part of the urinary tract.
  • They are usually present in low numbers.
  • In most cases, elevated levels of squamous epithelial cells in a urine sample could indicate that the urine sample is contaminated.
  1. Transitional Epithelial Cells
  • It is located in the bladder, ureters, and renal pelvis.
  • Elevated numbers may suggest infection, bladder inflammation, or early kidney problem symptoms.
  1. Renal Tubular Epithelial Cells
  • These cells line the tubules present in the kidneys.
  • The fact that they are present in urine is a graver issue and could point towards a kidney problem or tubular injury.

Causes of Elevated Epithelial Cells in Urine

An abnormal range of epithelial cells in urine may be linked to:

  • Urinary Tract Infections (UTIs) – It is a common problem among both men and women, particularly in India, where repeated cases of UTI are left untreated.
  • Kidney Stones – Kidney stones irritate the urinary tract and may lead to shedding of epithelial cells. For this, timely kidney stone treatment is essential.
  • Chronic Kidney Disease (CKD) – A continuous increase in epithelial cells could indicate kidney harm.
  • Inflammation or Trauma – Injury to the urinary tract can increase epithelial cells in the urine.
  • Diabetes & Hypertension – Gradually, both conditions may harm the kidneys and lead to abnormal urine test results.

Almost 12% of the Indian population suffers from kidney stones, which are more common in men than in women. Therefore, it is crucial to take preventive lifestyle measures and undergo regular check-ups.

Possible Symptoms to Watch For

Although a lot of individuals with high epithelial cells may be asymptomatic at first, the following are some common indicators of kidney problems that one should not overlook:

  • Frequent or painful urination
  • Blood in urine (hematuria)
  • Swelling in the feet, ankles, or around the eyes
  • Fatigue and weakness
  • Lower back or flank pain
  • Foamy urine (indicating protein leakage)
  • High blood pressure

In case you see any of these signs of kidney disease, make sure to seek the attention of a kidney specialist in India without any delay.

When Should You Be Concerned?

Not all cases of epithelial cells in urine indicate a serious problem. But you should consult a doctor if:

  • The epithelial cell range in urine is persistently high in multiple tests.
  • You have a history of diabetes, hypertension, or kidney stones.
  • You are experiencing kidney problem symptoms such as swelling, fatigue, or changes in urination.

Patients in India often seek hospital care too late due to a lack of awareness regarding the significance of urological health and the need for early detection. 

Paying attention to persistent symptoms is the key to early detection and timely interventions.

Treatment and Management

Treatment depends on the underlying cause:

  • For UTIs – Antibiotics and increased fluid intake.
  • For Kidney Stones – Medications, dietary changes, or minimally invasive kidney stone treatment.
  • For CKD – Management of blood pressure and sugar, dietary control, as well as drugs for retarding progression.
    For Severe CasesDialysis or a kidney transplant may be required.

At HCG, which is a leading super-speciality hospital in India, we have highly experienced nephrology and urology experts who can treat a wide range of urological problems with comprehensive treatment plans.

Additional Reading: Managing Kidney Disease: Expert Insights and Best Practices – HCG Hospitals 

Preventive Measures for Kidney Health

Since kidney damage can be hard to treat, it’s better to prevent it altogether. Here are a few habits that can help protect your kidneys:

  • Stay Hydrated – Drink adequate water to flush out toxins and prevent stones.
  • Control Blood Sugar and Blood Pressure – Both are leading causes of kidney disease in India.
  • Limit Salt and Processed Foods – High sodium intake increases strain on the kidneys.
  • Avoid Overuse of Painkillers – NSAIDs can harm kidney function over time.
  • Get Regular Screenings – They help maintain optimum kidney health and detect various urological conditions in early stages; they are especially important if you have a family history of kidney problems.
  • Quit Smoking and Limit Alcohol – Both increase the risk of kidney and urinary tract issues.
  • Adopt a Balanced Indian Diet – Consume more fresh fruits, vegetables, whole grains, and low-fat dairy, but reduce intake of too much oil and fried foods.

Additional Reading: The Importance of Kidney Health: A Comprehensive Guide

Conclusion

Epithelial cells in urine are often overlooked, but they can serve as an early warning sign of kidney problems. Timely detection, lifestyle changes, and medical consultation can prevent complications of the increasing cases of kidney diseases in India.

If your test shows abnormal results or you have kidney disease symptoms, do not ignore them. Visit a kidney specialist in India at HCG, the trusted urology hospital in India, for expert care. Early action is the key to protecting your kidneys and leading a healthy life.

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