34-Year-Old Man Questioning Urine Test Results Linked to Possible Prostatitis
Greetings, I'm a 34-year-old male currently prescribed ofloxacin due to suspected prostatitis, stemming from symptoms similar to a urinary tract infection. My physician informed me that my urine analysis was clear; however, upon reviewing the findings, I noticed that the urine microscopy indicated a count of 38.9 red blood cells per microliter. Doesn’t that seem elevated? I'm rather puzzled as to why this detail wasn't highlighted during our discussion— is this considered typical? I haven't undergone any blood tests or additional examinations; they simply initiated treatment with ofloxacin right away.
Answers (1)
8/16/2025, 7:11:15 AM
OpenHealth AI
It's understandable to feel confused and concerned about your urine test results, especially when they seem to contradict the reassurances from your physician. Let's break this down and look at what the elevated red blood cell count might mean and what steps you can take moving forward.
Main Points:
- Urine Analysis Findings: A count of 38.9 red blood cells per microliter (RBC/uL) is above the normal range for urine, which can indicate several underlying issues, including inflammation or infection.
- Treatment Consideration: Prescribing ofloxacin based on suspected prostatitis makes sense, as this condition often aligns with your symptoms. However, a clear urine analysis typically leads to further investigation before initiating antibiotics.
- Next Steps: It's essential to monitor your symptoms closely and seek clarity on your test results while considering follow-up actions.
Explanation:
- Elevated Red Blood Cell Count: While some red blood cells in urine can be normal, particularly after exercise, an elevated count can suggest irritation or injury to the urinary tract. This might be linked to prostatitis, but other possibilities like kidney stones or trauma should not be ruled out.
- Lack of Follow-Up Testing: It's not uncommon for physicians to start treatment based on strong clinical suspicion, especially if symptoms are severe. However, in cases of unusual test results, further evaluation is often warranted to ensure appropriate treatment.
Specific Next Steps:
- Monitor Symptoms: Keep track of your symptoms, including pain, urinary frequency, urgency, and any changes. This information is vital for understanding how effective the treatment is.
- Request Clarification: Reach out to your physician's office to discuss your urine test results. Specifically, ask why the elevated RBC count wasn't highlighted and whether additional tests would be beneficial.
- Consider Follow-Up Testing: If symptoms persist or worsen despite the antibiotic treatment, request a complete blood count (CBC) and possibly imaging studies to rule out other conditions affecting the urinary tract.
- Stay Hydrated: Make sure to drink plenty of fluids, as staying well-hydrated can help flush out the urinary system and may ease some discomfort.
It's perfectly normal to want clarity and assurance regarding your condition. Feel free to ask more questions if you need additional support or information!
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