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Doctor insights on: Positive Leukocytes In Urine Negative Nitrates

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Dr. Christopher Nicora
Board Certified, Internal Medicine
19 years in practice
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Dr. Mark Pack
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Dr. Mark Pack
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Dr. Nicholas Fogelson
Board Certified, Gynecology
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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.

Dr. Nicholas Fogelson
Board Certified, Gynecology
1M people helped
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. Mark Pack
Board Certified
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Dr. Mark Pack
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Dr. Dean Giannone
Board Certified, Internal Medicine
20 years in practice
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History of kidney stones. Intermittent flank pain and pain below rib cage. No UTI symptoms, but home urine test showed 500+ leukocyte and no nitrate?

Dr. Dean Giannone
Board Certified, Internal Medicine
20 years in practice
11M people helped
History of kidney stones.  Intermittent flank pain and pain below rib cage.  No UTI symptoms, but home urine test showed 500+ leukocyte and no nitrate?

Renal colic?: While technically speaking we should keep our mind open to other possibilities for your symptoms, they could be consistent with a passing kidney stone. The leukocytes could be suggestive of resultant inflammation. ...Read more

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Dr. Mary Lambe
Board Certified, Travel Medicine
40 years in practice
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My urine test is positive for leukocytes and negative for nitrates, is that even possible fot uti?

Dr. Mary Lambe
Board Certified, Travel Medicine
40 years in practice
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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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Dr. Mark Pack
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Dr. Andrea Brand
Board Certified, Family Medicine
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My urine test is positive for leukocytes and negative for nitrates, is that even possible for UTI in my penis ?

Dr. Andrea Brand
Board Certified, Family Medicine
5M people helped
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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Dr. Boris Ripa
Board Certified, Pediatrics
31 years in practice
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Have fever cold symptoms and aches thinking influenza. Testing positive urine for leukocytes negative nitrates. Could it be UTI ?

Dr. Boris Ripa
Board Certified, Pediatrics
31 years in practice
714K people helped
Have fever cold symptoms and aches thinking influenza. Testing positive urine for leukocytes  negative nitrates. Could it be UTI ?

May be: It could be UTI or flu or both.To be more sure you have to send your urine and nasal swab for cultures. ...Read more

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Dr. Olakitan Akinjagunla
Board Certified, Internal Medicine
1M people helped
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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?

Dr. Olakitan Akinjagunla
Board Certified, Internal Medicine
1M people helped
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. Foster Carr
Board Certified, General Practice
28 years in practice
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Why do I still have nitrates and leukocytes on my urine dipstick when the urine culture is negative?

Dr. Foster Carr
Board Certified, General Practice
28 years in practice
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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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Dr. Jane van Dis
Board Certified, Obstetrics and Gynecology
13 years in practice
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I had a urine culture done. Showed no infection. Nitrates are neg but leukocytes pos. I have all the classic symptoms of a uti. I'm on antibiotics but still feel pain. Urgency, freq, pain, etc.

Dr. Jane van Dis
Board Certified, Obstetrics and Gynecology
13 years in practice
44M people helped
I had a urine culture done. Showed no infection. Nitrates are neg but leukocytes pos. I have all the classic symptoms of a uti. I'm on antibiotics but still feel pain. Urgency, freq, pain, etc.

Check with your Dr.: Sometimes doctors treat UTI without doing a culture, which means that maybe your antibiotic is resistant to your strain of bacteria and you're not feeling better because antibiotic can't treat the infection. Check with your doctor to make sure a culture was done and that your bacteria is sensitive to the antibiotic you're on. ...Read more

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Dr. Ed Kaplan
Board Certified, Hematology and Oncology
34 years in practice
725K people helped
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My urine is "gunky" and dips is + for nitrates, moderat non-hemolyzed blood, neg leukocytes. Excessive sweating at night, mild frequency & no pain! ?

Dr. Ed Kaplan
Board Certified, Hematology and Oncology
34 years in practice
725K people helped
My urine is "gunky" and dips is + for nitrates, moderat non-hemolyzed blood, neg leukocytes. Excessive sweating at night,  mild frequency & no pain!  ?

Need further eval: You should have a thorough check up by a generalist. I would especially want to know about your lymph node and abdom organ exam. Labs should be looking at blood count and srum chemistries- especially kidney function and protein level. Many things come to mind but i would start with that to direct further workup. ...Read more

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Dr. Mark Pack
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