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A 44-year-old female asked:

I have blood protein and white cells in my urine tests came back no uti had two courses of antibiotics but still persists what could this mean?

1 doctor answer2 doctors weighed in
Dr. Gregory Lewis
Urology 45 years experience
See answer: Urinalysis (u/a) can be misleading in females regarding the presence or absence of a uti. Urine culture most accurate. Lack of response to 2 antibiotics would suggest abnormal u/a is not due to a uti. If significant protein (1-2+ or more), implies renal disease. Can confirm with blood tests. If significant blood (>3 rbcs/hpf), then need kidney imaging (ct urogram or renal us) and cystoscopy.

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Last updated Sep 29, 2016

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