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Doctor insights on: Positive Leukocytes In Urine Negative Nitrates

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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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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?

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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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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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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My urine is "gunky" and dips is + for nitrates, moderat non-hemolyzed blood, neg leukocytes. Excessive sweating at night, mild frequency & no pain! ?

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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