A high tubular count definitely indicates a problem, and the problem is mainly with the kidneys, which may be having nephritis. In this case, we suggest that you must pay attention to whether you have hypertension, hematuria, swelling of the face, swelling of both lower limbs, etc. Further tests may be needed. 24hUP measurement, kidney function test and ultrasound of kidney, ureter and bladder are needed to make a preliminary determination of kidney function damage. If necessary, a kidney puncture biopsy may be needed to determine the type of nephritis and then decide how to proceed with treatment. If there is a tubular pattern in the urine, it must be taken seriously.