Understanding 22AMAB Leukocytes 1+ Results
For the past week, I've been experiencing symptoms similar to a urinary tract infection (UTI). I've felt discomfort in my bladder, along with a slight warmth after urinating. My urges to go have been frequent, yet very little urine has been produced. Additionally, I have dull aches radiating through my legs, hips, back, and particularly in the lower left side near my pubic area. Though the discomfort in my lower left abdomen has subsided, I still contend with an intermittent aching sensation in my lower mid-back and legs, as well as other general symptoms. Both of my urine tests came back negative; however, I noticed that my records indicated 'Leukocytes 1+' with a culture ordered, suggesting that a UTI is unlikely. So far, I've undergone three dip tests, with further culture results expected tomorrow morning. After experiencing a worsening of my symptoms, I sought help at the emergency department. The doctor prescribed me Codeine and Nitrofurantoin to be taken twice daily over a week. To be honest, I have avoided taking the Codeine. Now, two days into the treatment—I've just completed my last dose for the day—I'm still experiencing some symptoms. Although my urination has become less frequent and I feel less urgency, there is ongoing sensitivity in my lower back and legs. Notably, while urination is not painful, there is increased sensitivity in my pubic region during bowel movements. I underwent tests for kidney function and a blood count; both returned normal results. My temperature was at 37.7 degrees Celsius during the evaluation, but it fluctuates. Initially, I had some nausea, but I'm now able to eat more comfortably. Interestingly, I notice that the discomfort tends to worsen in the evenings after I have my dinner, which is often bolognese. Could anyone provide insight? Should I consider requesting a different antibiotic? I anticipate obtaining my test results upon waking up tomorrow.
Answers (1)
8/18/2025, 4:11:06 AM
OpenHealth AI
It sounds like you're navigating a challenging set of symptoms, and it's understandable to seek clarity on your situation. Based on your description, you have signs that could imply a urinary tract issue or another underlying condition, despite your urine tests showing 'Leukocytes 1+' and being otherwise negative for UTI bacteria. Here are the main takeaways:
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Symptoms and Signs: Your symptoms, including bladder discomfort, frequent urination, and discomfort during bowel movements, might suggest an irritation in the lower urinary tract or pelvic region. The sensitivity in your lower back and legs, along with your gastrointestinal symptoms, could indicate another underlying issue.
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Current Treatment Response: You've started on Nitrofurantoin, which is typically effective for UTIs, but individual response can vary. The Codeine is prescribed likely for pain control, but since you’re avoiding it, consider discussing this with your healthcare provider if you're experiencing pain or discomfort.
Next Steps:
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Monitor Symptoms: Keep a detailed log of your symptoms, including when they worsen throughout the day (you noted evening discomfort) and any specific foods that seem to trigger symptoms (like your bolognese). This will help identify patterns that could be communicated to your doctor.
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Expect Test Results: Make sure to follow up on the urine culture and any additional tests. The culture results will provide clarity on whether there's a detectable infection that requires a change in antibiotic treatment.
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Symptomatic Relief: While you're waiting for results:
- Stay well-hydrated to help flush your urinary system.
- Consider using a heating pad on your lower back or abdomen to relieve discomfort.
- Avoid known irritants (caffeine, alcohol, spicy foods) that may exacerbate your urinary symptoms.
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Follow-up with Your Doctor: Based on your symptoms and culture results, discussing the option of a different antibiotic could be worthwhile, especially if your symptoms persist or worsen. Mention any side effects or concerns you have about the current medications.
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Bowel Movements Sensitivity: If sensitivity continues during bowel movements, this may warrant a closer evaluation of your gastrointestinal health. Discussing this aspect with your healthcare provider is essential, especially if it persists.
Your symptoms are complex, and it’s crucial to maintain open communication with your healthcare team to ensure the right approach to your treatment and any necessary adjustments based on test results and your ongoing experience. Please reach out if you have further concerns or notice any changes in your condition.
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