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Doctor insights on: What Does Red And White Blood Cells In Urine Mean

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Dr. Fred McCurdy
Board Certified, Pediatric Nephrology and Dialysis
39 years in practice
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High levels of white blood cells in urine. What could that mean?

High levels of white blood cells in urine. What could that mean?

Pyuria: White blood cells in urine usually are there because of an infection in the urinary tract. However, they can also be there in large numbers in a female when there is a vaginal infection or when she is having her period (always see red cells also in this situation). My best advice is to see your doctor and have a urine culture done to see what is going on. ...Read more

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Dr. Andrea Brand
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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. Shahrooz Eshaghian
Board Certified, Hematology
9 years in practice
12K people helped
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Dr. Andrea Brand
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Dr. Michael Ein
Board Certified, Infectious Disease
42 years in practice
3M people helped
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What does it mean when there are red blood cells and white blood cells in urine?

What does it mean when there are red blood cells and white blood cells in urine?

Infection: When there are both alot of rbc's and wbc's in the urine it usually indicates a bacterial infection either cystitis, prostatitis, urethritis or pyelonephritis. ...Read more

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Dr. Martin Raff
Board Certified, Infectious Disease
50 years in practice
103M people helped
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Significance? Urine- wbc>100/cmm; red blood cells:+++; no growth. Fbc (suggestive of infection)- neutrophil:7.3 10*9/l; mean platelet volume: 12.3fl

Significance? Urine- wbc>100/cmm; red blood cells:+++; no growth. Fbc (suggestive of infection)- neutrophil:7.3 10*9/l; mean platelet volume: 12.3fl

Lab data: These results are meaningless without a clinical history and exam results. Although you have micropyuria and hematuria cannot be sure of the significance without knowing the problems you are investigating and the manner in which the urine was collected. It would be helpful if you provided the remainder of the cbc, but not without expounding on reasons it was done. ...Read more

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Dr. Andrea Brand
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Dr. Jonathan Song
Board Certified, Gynecology
159K people helped
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Red and white blood cells in urine. Docs not worried - decided it was endometriosis (without further tests). Should i seek 2nd opinion?

Red and white blood cells in urine. Docs not worried - decided it was endometriosis (without further tests). Should i seek 2nd opinion?

DEFINITELY!: Red and white blood cells in urine could mean possible bladder infection; urine culture can confirm this. Endometriosis can only be diagnosed by a biopsy or direct visualization (can't biopsy something that you can't see so visualization is required) via laparoscopy. Start with a urine culture; if negative and there is suspicion for endometriosis, see a gynecologist. Best of luck. ...Read more

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Dr. Brian Golden
Board Certified, Urology
15 years in practice
293K people helped
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I have red and white blood cells in urine but no bacteria. I also have abdominal pain and pain in my sides. Any ideas?

I have red and white blood cells in urine but no bacteria. I also have abdominal pain and pain in my sides. Any ideas?

Poss Kidney Stones: Have you had an imaging study? Ultrasound is rather unreliable. If your urinary ph (acidity) is 6 or higher, then stones should show up on plain xray (kub). Urine ph of 5.5 or lower can cause uric acid stones, which do not show up on plain film. Ct scan is then necessary. Bottom line is, you need to be seen by your doctor and, if he can't figure it out, get a referral to a specialist. ...Read more

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Dr. Gurmukh Singh
Board Certified, Pathology
43 years in practice
95M people helped
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I have hemorrhagic cystitis blood still in my urine. Would it have red and white blood cells if it is coming from kidneys?

Casts: The presence of red and/or white cell in the urine does not help in differentiating the source of kidney vs. Bladder. If red cell or white cell casts are present, those only come from the kidney. ...Read more

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Dr. Gurmukh Singh
Board Certified, Pathology
43 years in practice
95M people helped
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Epithelial cells and mucus present in urine, normal red blood cells and white blood cells in urine .No symptoms , possible causes ?

Need more info: How many red cells and how many white cells? Who asked for the test and why? Lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. ...Read more

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Dr. Kalyani Perumal
Board Certified, Nephrology and Dialysis
23 years in practice
351K people helped
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9
Why might it be that red and white blood cells be found in urine with chronic kidney disease?

Seek md opinion: These cells can indicate 1. Urinary infection 2. Kidney injury due to the disease that caused chronic kidney disease 3. Bleeding in the kidney- from stone, cyst, sometimes cancer.This must be investigated by urologist or nephrologist. ...Read more

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Dr. Ed Friedlander
Board Certified, Pathology
38 years in practice
136M people helped
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All STD tests came back negative. I have red and white blood cells in my urine and no bacteria. What could this indicate?i

All STD tests came back negative. I have red and white blood cells in my urine and no bacteria. What could this  indicate?i

Maybe nothing: It is all about how many. A few such cells are normal and in a young woman, they are often contaminants. ...Read more

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Dr. Angelica Balingit
349 doctors shared insights

Blood Cells (Definition)

Blood cells are individual cells that are carried by blood to various organs. White blood cells fight infection. Red ...Read more


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Dr. Andrea Brand
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