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Doctor insights on: Positive Leukocytes In Urine Negative Nitrates

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Dr. Arnon Rubin
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Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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Have moderate bacteria in urine test but rest is all (_ve) e.g the RBC,leukocyte,protein or nitrate.Need for urine culture & antibiotic? 6months preg.

Have moderate bacteria in urine test but rest is all (_ve) e.g the RBC,leukocyte,protein or nitrate.Need for urine culture & antibiotic? 6months preg.

Probably not: Typical care for pregnancy includes a urine culture in early pregnancy. If that was negative and you have no symptoms, I wouldnt' treat at this point. Your obgyn can be more specifically helpful at your next visit. ...Read more

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Dr. Arnon Rubin
18 years in practice
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My urine test is positive for leukocytes and negative for nitrates, is that even possible fot uti?

Yes: Leukocytes mean your body is making an inflammatory reaction. A positive nitrite test indicates a gram negative bacteria is present. You could have a bladder infection with a bacteria which does not convert nitrates to nitrites. An example is enterococci, which can cause an infection, cause white cells, yet not change the nitrites portion of the dipstick. Microscopic exam and culture are important. ...Read more

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My urine test is positive for leukocytes and negative for nitrates, is that even possible for UTI in my penis ?

My urine test is positive for leukocytes and negative for nitrates, is that even possible for UTI in my penis ?

Urethritis: A urine test with positive leukocytes suggests local inflammation, commonly in the bladder in women or the urethra ( tube carrying the urine from the bladder to the outside)in men. Inflammation of the urethra ( urethritis) is commonly caused by chlamydia infection, but may have non infectious causes also. Your doctor may prescribe antibiotic. ...Read more

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Urine test positive for WBC negative for nitrate. was on analpram for hemorrhoid for 3 weeks no off for week and a half. can this cause WBC in urine?

Urine test positive for WBC negative for nitrate. was on analpram for hemorrhoid for 3 weeks no off for week and a half. can this cause WBC in urine?

Not likely: This is not likely. Adequate fluid intake and if symptoms get treated otherwise repeat urinalysis and do what is called a clean catch. Ask clinic staff to guide you in collection ...Read more

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Dr. Arnon Rubin
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Why do I still have nitrates and leukocytes on my urine dipstick when the urine culture is negative?

Why do I still have nitrates and leukocytes on my urine dipstick when the urine culture is negative?

Many reasons: There are many possible reasons why a urine culture is negative but the nitrates and leukocytes are positive. 1. If your taking antibiotics then that would prevent growth of the urine culture. 2. The leukocytes and nitrates do not represent an actual bacterial infection but other viral, chemical, or environmental reasons for a positive result 3. Dipstick test or urine culture tests are false. ...Read more

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Bad UTI 2 months ago but now have positive test for blood- trace, and leukocyte but neg for nitrates and slight inflated protein -v slightly worry ?

Bad UTI 2 months ago but now have positive  test for blood- trace, and leukocyte but neg for nitrates  and slight inflated protein -v slightly worry ?

UTI: hi, You might still have a residual infection but because you have taken Antibiotics your UA doesn't show Nitrate (depends on when you have taken the Antibiotics last). Also I'm sure a kidney function has been done and also Urine Micro (the shape of RBC and WBC been looked at under Microscope ), how much protein? If you have these info please let me know. Also repeat UA in 2 wks, get a Sono. ...Read more

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Urine test that shows WBC is 1620!? What's the usual range? Rbc 90. Bacteria +2. Blood +3.Nitrate negative, protein +1. Uti or kidney infection?

Urine test that shows WBC is 1620!? What's the usual range? Rbc 90. Bacteria +2. Blood +3.Nitrate negative, protein +1. Uti or kidney infection?

Yes,: And you should take notice and be under a physicians care as this is not normal. One should examine the reasons for the UTI and certainly be immediately under antibiotic treatment. ...Read more

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What does protein, leukocytes and nitrates in urine mean?

What does protein, leukocytes and nitrates in urine mean?

UTI: Protein,Leukocytes, and Nitrates may imply that you have a urinary tract infection. Are you having any symptoms of burning, itching, increased urinary frequency, urgency? If yes, then you should connect with us via Healthtap or see your PCP as you may need antibiotics for your condition. ...Read more

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