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A 33-year-old female asked:

Urine sample (with stringy floating white pieces) has trace bacteria and moderate leukocytes. no blood, nitrites, ketones, bilirubin. diagnosis?

1 doctor answer1 doctor weighed in
Dr. John cuong Doan
Family Medicine 18 years experience
That is probably a: normal looking urine, with some asymptomatic bacteriuria (presence of bacteria without causing infection). The long stringy white stuff is protein or casts that have polymerized in the urine. If you have symptoms of UTI, then you can be treated, but if not then you do not need immediate treatment. Repeat urinalysis for protein presence may be recommended at this time.

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Last updated May 7, 2019

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