For the past month, I've had a burning sensation when I urinate, and I've also noticed an increased need to go to the bathroom. I had a urine test done. The results showed the presence of bacteria and white blood cells. What could be causing these symptoms? What treatment would you recommend?
Below.
Bacteria:Present
Leukocyte Esterase:Positive
Nitrites:Positive
RBC:5/HPF
WBC:20/HPF
Sarah, a 28-year-old female, reports a burning sensation during urination and an increased need to urinate over the past month. A urine test showed the presence of bacteria, white blood cells (20/HPF), red blood cells (5/HPF), positive nitrites, and positive leukocyte esterase.
Urinary Tract Infection (UTI) (90%) - A UTI is an infection in any part of the urinary system, most commonly the bladder and urethra. The presence of bacteria and white blood cells in the urine strongly suggests this diagnosis.
Interstitial Cystitis (10%) - This is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. It is less likely given the presence of bacteria in the urine, which is more indicative of a UTI.
The most likely diagnosis for your symptoms is a Urinary Tract Infection (UTI). UTIs are common, especially in women, and occur when bacteria enter the urinary tract. The burning sensation and increased frequency of urination are typical symptoms. The urine test results, showing bacteria, white blood cells, positive nitrites, and leukocyte esterase, strongly support this diagnosis. A less likely but possible diagnosis is Interstitial Cystitis, a chronic condition that causes bladder pain and pressure. However, this is less probable given the presence of bacteria in your urine, which is more indicative of a UTI. UTIs are usually not serious and can be treated effectively with antibiotics. It's important to complete the full course of antibiotics even if symptoms improve. Drinking plenty of water can help flush out the bacteria. If left untreated, a UTI can lead to more serious kidney infections. Next, you should consult with your doctor to get a prescription for antibiotics. They may also recommend a follow-up urine test to ensure the infection has cleared.
The urine test showed the presence of bacteria and white blood cells, which are signs of infection. Positive nitrites and leukocyte esterase further confirm the presence of bacteria in the urinary tract, indicating a UTI.
This document is not intended as medical advice or a replacement for professional medical consultation. It provides general guidance for initial diagnosis and suggests questions to discuss with a healthcare provider. Always seek personalized medical advice from a qualified physician or healthcare provider. For questions contact us at hi@doctola.com