what does red and white blood cells in urine mean

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Dr. Michael E. Ein answered:

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

Infection

Prostatitis
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.
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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?

Poss Kidney Stones

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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.
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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?

DEFINITELY!

Blood
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.
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Dr. Evan M. Altman answered:

What does white blood cells in urine mean?

Leukocytes = WBCs

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White blood cells in the urine indicate that an inflammatory or immune system reaction is taking place. Without more information, in terms of other urine or laboratory markers, symptoms, etc. that is about all one can say with regard to this.
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Dr. Evan M. Altman answered:

Does white blood cells in urine mean herpes ?

Leukocytes = WBCs

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White blood cells in the urine indicate that an inflammatory or immune system reaction is taking place. Without more information, in terms of other urine or laboratory markers, symptoms, etc. that is about all one can say with regard to this. The presence of WBCs would definitely not be specific for determining if one had Herpes virus.
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Dr. Gurmukh Singh answered:

Epithelial cells and mucus present in urine, normal red blood cells and white blood cells in urine .no symptoms , Possible causes ?

Need more info

Urine
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.
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Dr. Fred McCurdy answered:

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

Pyuria

Urine
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.
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Why might it be that red and white blood cells be found in urine with chronic kidney disease?

Seek md opinion

Blood
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
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Dr. Gutti J. Rao answered:

Would a urine culture tell if its a uti or kidney infection? Doc also said white blood cells in urine. Whats that mean? Possibly stones?

Uti

Urine_culture
Urine analysis if positive for infection such as positive leukocyte esterace, nitrite, bacteria and wbcs. It does not differentiate between a kidney, bladder or urethral infection. If you see sediment or oxalate crystals or under microscope crystals can be seen. Then stones can be suspected
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When you have high levels of nitrates in urine test but show no white blood cells in the urine test what does this mean?

Probable bacteruria

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Possible to have a UTI without white cells in urine. Nitrite urine test is usually only positive in presence of bacteria. Suggest you get a urine culture to delineate a UTI, identify bacteria & which antibiotics will eliminate them.
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