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Doctor insights on: Blood In Urine High White Blood Cell Count

WBCs in urine: WBC's in the urine are commonly associated with infection or inflammation of the urinary tract. Urine infection (UTI), kidney infection (pyelonephritis), and kindey stones are common causes. Inflammation of the bladder wall (cystitis) is also common. Less common causes are things like nephrotic syndromes and allergic interstitial nephritis.

Infection: Most likely, bacterial inflammation (cystitis).

Slightly high: Wbc count is usually insignificant, but the elevated urine protein needs to be evaluated soon for any indicators of renal insufficiency and treated. Contact the individual ordering the lab tests, .

Elevated White Cells: Elevation of the white blood cell count usually represents a bacterial infection.

Maybe but...: Our first concern is to rule out a serious infection (is your peripheral smear abnormal? Are the white cells primitive / angry-looking? Do you have symptoms?) and real kidney disease (how much protein, is it mostly albumin?) I hope you'll reconsider anabolic steroid use (if it's this kind of steroid); every guy I know who's tried this has regretted it.

Need more: Details. Am presuming the urine culture may have been collected after she was already on a course of antibiotics for something else.

Pyelonephritis: It sounds like you have pyelonephritis/ renal infection. You could have infected kidney stones or an obstructing ureteral stone. You could have vessico-ureteral reflux or a large post void bladder residual. I would recommend that you see a urologist and get a renal/bladder ultrasound and voiding cysto-urethrogram. Good luck.

Seems OK.: As long as you feel fine or are getting better these lab tests don't indicate much. Depending upon where you grew up and live in India these symptoms could represent serious disease, but the labs don't show anything specific. The way you feel should guide whether you need further testing.

Lab data: Without a full medical history and physical exam cannot possibly theorize about what this may be. It certainly indicates a need for further investigation and should not be ignored. Good luck.

No: They do not correlate.

Here are some. ..: It seemed you took 2 antibiotics since Cipro (ciprofloxacin) itself is an antibiotic. Finding WBC in urine suggests the presence of inflammation caused by bacteria, virus, stone, tumors, foreign body, after recent procedures, catheter, contamination at urine collection, etc., not necessarily by bacterial infection alone. Antibiotic is good only for the bacteria sensitive to it, not for anything else. So, don't...

How high?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have helped to know the actual values. The normal values are the central 95% of a healthy population, by definition, 5% of healthy people with have an abnormal result on almost all tests. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex.

No.: Bubbles may be normal, unless the urine is "bubbling" as it comes out of the urethra. Pneumaturia may be a sign of a fistula or infection. If the bubbles develop in the bowl when the urine hits the water, this may be normal.

See below: Bubbles in urine or very frothy urine may be due to protein in urine, and possible kidney disease. Generally speaking there is no connection to a high red blood cell count in the blood.

No: Related to force of urinary stream or possible proteinuria. Worth getting a urinalysis if you are now making lots of bubbles in urine & didn't before.

Incomplete info: Random or fasting blood glucose of 94 is not abnormal. If it was fasting, you need to be careful. High glucose in urine is of concern, even with "normal" blood glucose. How high is the blood count? PCOS is one of the risk factors for diabetes. It would be prudent to discuss these items with your doctor. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine.

HIGH WBC >10.5k: A normal white blood count (WBC) is in the range: 4k--10.5k (4000-10, 500) in most labs around the country. So any WBC >10.5k is elevated. I see elevated wbc's all the time, so I recommend following it closely (perhaps rechecking in 1 month with 'a differential'). If you have symptoms of a blood disorder you may need further testing, now.

Stresses: Can be from infection, steroids, some other drugs, or more rarely blood cancer. Need more information and situation/history to narrow.

High WBC: You could have inflammation rather than infection. A sed rate and CRP are helpful tests to rule this out. You may need to see a rheumatologist.