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Doctor insights on: What Does Positive Leukocytes In Urine Mean

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What does having a trace of leukocyte esterase urine mean?

What does having a trace of leukocyte esterase urine mean?

Usually normal: Leukocyte esterase released by lysed neutrophils and macrophages is a surrogate marker of the presence of white blood cells (WBCs). Leukocyte esterase suggests that there are white blood cells in the urine. Trace means few WBC produced small amount of leucocyte esterase ...Read more

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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

Dr. Shontae Buffington
Board Certified, Pediatrics
11 years in practice
553.0K people helped
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Dr. Shontae Buffington
Board Certified, Pediatrics
11 years in practice
553.0K people helped
Get help from a real doctor now
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Dealing with Blood in Urine (Checklist)

Rule out infection as a cause with a urinalysis or culture
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Ask your doctor to review your medications in case one is the cause
Once
Rule out kidney stones with your doctor
Once
If male, schedule a prostate exam
Once
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Does an urinalysis report of: leukocyte esterase 1+, urine WBC 6-10 and squamous epithelial cells 0-5 mean an infection?

Does an urinalysis report of: leukocyte esterase 1+, urine WBC 6-10 and squamous epithelial cells 0-5  mean an infection?

Not necessarily: Voided (vs. catheterized) urine specimens in women are potentially subject to contamination. Urine culture is the definitive method of determining the presence of infection. Another important point is that in older women in the absence of symptoms, this kind of urine abnormality alone or even a positive culture should not be treated with antibiotics (asymptomatic bacteriuria). ...Read more

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25 weeks pregnant with very frequent urination, urine test showed pH 7 leukocyte esterase positive, leukocyte 1, is it infection, what do I do?

25 weeks pregnant with very frequent urination, urine test showed pH 7 leukocyte esterase positive, leukocyte 1, is it infection, what do I do?

Treat: Leukocyte esterace in not diagnostic of a urinary tract but because of the higher risk of preterm labor with untreated uti, i would treat. See your doctor. ...Read more

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Dealing with Blood in Urine (Checklist)

Get urinalysis with a mid-stream catch
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Visit PCP or urologist
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Follow up with urologist
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Note other symptoms, related medical history
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Board Certified, Pediatrics
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Why would someone need a leukocyte esterase urine dipstick test?

Urinary infection: Leukocyte esterase is a surrogate marker for the presence of white blood cells in the urine and usually indicates urinary infection. ...Read more

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Dealing with Blood in Urine (Checklist)

Go to your PCP have a complete exam urinalysis, a culture sensitivity.
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If all exams are normal, make a habit to drink a lot of water.
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Request regular urine checks to see if the blood in your urine persist
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How abnormal is 5-10 for WBC in a urine test? I am curious about a small abnormality on my physical: the results of the urine chem/microscopy say “trace” of leukocyte esterase (reference range: negative) and a “flag” says ab. Following that the WBC is “ab

A : A few white blood cells in the urine of a female patient is very common, especially if the urine sample was not collected in particular manner. If a physician is interested in getting urine from a woman's bladder that has not been contaminated by passing through the vagina, which normally contains bacteria and white blood cells, the sample should be collected by asking the woman to use a antiseptic towelette to wipe the vagina while spreading the inner labia, then to urinate into the toilet for a second, stop urinating, then urinate into the specimen cup. If you didn't collect the urine in this manner, then it's more than likely that the white blood cells are from the vagina, not the bladder as are the bacteria and the leuk esterase. If it is noted that there were squamous epithelial cells in the urine, then it's even more likely, because those cells are found only in the vagina, not the bladder. Back pain is a common symptom, and occasionally it is the sole symptom of a urinary tract infection, but not usually. Most of the time people with utis will have pain on urination or frequency of urination, fevers, or pain on the sides of their back. If you have any of these (fever, urinary pain or frequency, or pain on the sides of your back) or if the middle back pain persists for more than a week, you should see a doctor. But the biggest thing here is, the physician who ordered the urine test should be available and eager to answer your question. ...Read more

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Dr. Shontae Buffington
Board Certified, Pediatrics
11 years in practice
553.0K people helped
Continue
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