The appearance of squamous epithelium in the urine of a child

It is the responsibility of responsible parents to ensure the growth and development of their child. Children’s health is a determining factor in upbringing and guaranteeing normal development. Parents of young children often turn to a pediatrician, perhaps even being overly insured. When contacting a doctor, a general analysis of the child’s urine is almost always prescribed. This analysis is quite simple and allows you to quickly identify qualitative and quantitative deviations from the norm, which is important when making a diagnosis and analyzing the general condition of the body. And very often the analysis shows the presence of squamous epithelium in the urine of a child, especially boys. This causes concern for parents, but is it always a pathology?

Epithelium in urine – what is it?

Epithelial cells are cells of the surface tissues that line all surfaces of our body, including the vessels and pathways of the genitourinary system.

In the general analysis of urine, the following types of epithelial cells can be found:

  • monolayer squamous epithelium of the lower urethra and bladder,
  • cubic cells of the transitional epithelium of the renal pelvis and pathways to the upper urethra,
  • the cells of the renal epithelium lining the nephron tubules of the kidneys.

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The presence of renal epithelial cells under general normal indications (lack of protein, blood cells) is considered a normal variant. For other types of epithelial cells, their number should be minimal, but they are almost always present.

Squamous epithelium is normal

The physiological norm for any indicator is the quantitative indicators observed by the laboratory assistant through the microscope eyepiece and which fit into the physiological intervals. For epithelial cells of the lower urethra, for boys it is up to 3-5 units, for girls – units or none. Such differences are associated with anatomical differences in the structure of the genitourinary system. If the number of squamous epithelial cells in the urine is higher than normal, it is initially considered that the tests are not clean and a repeated urine collection is prescribed. When re-analyzing, if the indicators again do not correspond to the norm, it is worth paying more attention to this.

Important! In the urine of newborns, the presence of all types of epithelium (flat, cubic and renal) is considered normal. This is the first stage in the adaptation of the infant’s excretory system to life outside the womb.

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Disease or not

Let’s make a reservation right away. The diagnosis can only be made by a specialist, taking into account all the qualitative and quantitative indicators of the analysis of not only urine, but also blood, taking into account the general examination of the patient. The doctor will pay attention to accompanying signs, namely fever, pain in the kidney or urinary tract, and many other diagnostic signs.

Important! The correct collection of material for analysis is the first stage of a successful diagnosis.

Increased indicators of squamous epithelium may indicate the following:

  • the presence of damage to the pathways by the same crystals of salts in the urine,
  • mechanical damage to the urethra,
  • inflammation of the urinary tract and bladder resulting from infection with viral, bacterial or fungal diseases,
  • diseases associated with the functioning of nephrons, as a structural unit of the excretory system of the kidneys,
  • an increase in the amount of epithelium can be caused by taking certain medications (cough medications, for example),
  • inflammatory processes in the prostate, which is not so common in boys,
  • general intoxication of the body with various poisonings,
  • incorrect collection of material for analysis.

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In any case, for the correct diagnosis of the child’s condition, the doctor, in addition to a thorough examination of the patient, will prescribe an additional clarifying range of tests.

Important! All analysis indicators are considered in aggregate and none can be distinguished as the main one. A professional will force parents to do repeated or clarifying studies, and only after that we can talk about making a diagnosis and options for tracking the dynamics of changes in indicators.

The main stage is correct collection

It would seem, what is easier than collecting urine for analysis. But every mom knows how sometimes it is not easy to carry out this action.

Correct preparation and collection of analysis for research will be:

  • Conduct thorough hygiene of the external genital organs. Equally applies to boys and girls, to exclude getting into the analysis of the epithelium of the external genital organs.
  • Collection of analyzes is carried out in a sterile container Pharmacy points will offer to purchase non-sterile containers for this type of analysis. Before collecting urine, the container must be sterilized by pouring boiling water over it.
  • The most appropriate and informative is the morning (first) middle part of the urine.

If the material for analysis is collected correctly, sterilely closed and delivered to the laboratory, the results of the study can be considered reliable.

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How to prevent

One hundred percent truth – it is better not to get sick than to be successfully treated. When children are sick, especially small children, it is a very difficult experience for parents. Here are some tips on how to protect your child’s genitourinary system.

First of all, the state of the excretory system will be affected by its load. Monitor the child’s diet so as not to overload the kidneys with excessive diuretic products (for example, a decoction of rose hips or watermelons). Everything is good in moderation.

Monitor the temperature of the genitourinary system. Hypothermia, like overheating, cannot be equally good for a developing organism.

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Strengthen the general immunity of the child, engage in physical exercise.

Pay attention to hereditary pathologies in this system in the family of the child’s parents. Hereditary diseases can be the cause of overestimated indications of squamous epithelium in the analyzes (from anatomical features of the structure of organs to hereditary kidney diseases).

Important! During the period of the appearance of the first menstruation in girls, an increase in this indicator may appear in their analyzes.

With increased rates of squamous epithelium in the child’s urine, do not panic too early. First of all, with the norm for other indicators, it is worthwhile to assume errors in the collection and transportation of material for analysis. If the indicators are repeated during re-examination, it is most likely that there is an infection of the organs of the excretory system, which can be detected by an additional range of tests. Parents should not play doctor with the health of their children. Look for a doctor who is credible and has good reviews. People in white coats are not enemies, they themselves will double-check the data a hundred times. Believe me, it’s not for nothing that they have been teaching doctors for so many years!

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Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.