Concerns Regarding Urine Sample Validity and Possible Health Issues
Subject: Female, 29 years, Height: 5'4" Hello everyone, I wanted to share my recent health concerns and seek your thoughts. I have a background of health anxiety and recently began worrying about having a urinary tract infection (UTI) because of some pelvic discomfort and increased urination. I started my period this past Saturday, which may explain some cramping I've felt in my pelvic area that lasted only a day. To address my worries, I visited urgent care last Sunday. During that visit, the dip test revealed the presence of white blood cells (WBC) and blood in my urine. The doctor prescribed Bactrim, but I opted not to take it until I received the urine culture results. Yesterday, I learned that the culture showed no bacterial growth. I also submitted another urine sample on Monday for my primary care physician and gynecologist, which yielded different outcomes; details of those results can be found in the comments below. In early August, I had blood tests that indicated normal kidney function. Although I noticed traces of protein and leukocytes previously, they had never been at a positive level of +1. However, excessive searching on Google has heightened my anxiety, especially since I currently lack any UTI symptoms. My anxiety keeps telling me that my kidneys may fail or lead to sepsis. Both my primary doctor and OB-GYN suggested that contamination was likely and advised me to remain patient. Still, my mind is racing with over-the-top thoughts that I might have a UTI or a kidney infection that could be overlooked, putting me at risk of severe consequences. It's been hard to shake off these worries despite reassurances that I do not have a UTI, adding to my dilemma about whether to go to the emergency room. I'm keenly aware of the elevated leukocytes and protein levels, which continue to trouble me. Edit: I visited another urgent care facility last night for yet another urine sample. Since I’m on my period, I wiped with toilet paper beforehand (as I wasn’t provided with a wet wipe) and they informed me that the results were clear and negative for all tests. Could it be possible that the wiping influenced a false negative result? It seems they only performed a dip test there. My temperature measured 99.9°F in the ear at the urgent care, yet it dropped to 98.1°F orally once I returned home. I've also been experiencing a sore throat, runny nose, chills, and sneezing. Is there a chance this could be sepsis, or am I simply overreacting? Thank you for your input!
Answers (1)
9/15/2025, 6:11:01 PM
OpenHealth AI
It’s understandable to feel anxious given your symptoms and the recent test results. Here's a clear summary of your situation: you have elevated leukocytes and protein in your urine, but multiple urine tests have shown no bacterial growth or significant findings. Your concerns about a UTI or kidney infection are valid but presently appear unfounded based on the negative culture results.
Explanation
White blood cells (WBCs) and protein in urine can suggest various issues, including a possible urinary tract infection, contamination during the sample collection, or even menstrual cycle-related changes. Since your recent tests, especially the culture, did not show bacterial growth, it is less likely you have a UTI. Other symptoms, like the runny nose and sore throat, might suggest you are experiencing another viral illness rather than a severe infection related to your urinary symptoms.
The slight fever you noted could also be due to your current illness, rather than a sign of sepsis. Sepsis usually presents with more severe symptoms, such as high fever, rapid breathing, confusion, and significant malaise.
Next Steps
- Monitor Symptoms: Continue keeping an eye on your symptoms. If you develop a high fever, intense pelvic pain, or any other concerning symptoms, consider seeking help immediately.
- Stay Hydrated: Ensure you drink plenty of fluids, as this can help flush your urinary system and alleviate discomfort.
- Relaxation Techniques: Engage in relaxation exercises to help manage anxiety, which can be exacerbated by symptoms and uncertainties. Consider deep breathing exercises or mindfulness meditation.
- Patient Wait: Follow your doctors' advice to remain calm and patient as you await any further test results. Trust in the recommendations given due to the recent negative findings.
- Avoid Google Searches: While it’s natural to seek information, try to limit searching online as it can often lead to heightened anxiety.
If your symptoms persist or worsen, or if you feel overwhelmed by your anxiety regarding these health concerns, don't hesitate to reach out to a healthcare professional for further assistance. You’re taking responsible steps in managing your health, and it's important to trust their guidance.
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