Do My Urine Results Suggest a UTI?
I’m a 27-year-old female currently taking 150mg of Venlafaxine. A couple of days ago, I visited my doctor due to severe discomfort and a burning sensation in my urinary tract and lower abdomen, which started three days after sexual intercourse. Now, five days have passed, and despite being prescribed Macrobid 100mg, I haven’t experienced any relief. Additionally, I've developed a fever of 100.3°F and am feeling extremely fatigued, with my vision becoming slightly blurry. The doctor informed me it would take five days to receive the urine culture results, but I’m curious about what my current results indicate. I’m beginning to suspect that I may require a different antibiotic. I also found out that Urobilinogen levels relate more to liver function than to urinary issues. I've been taking Azo, but it hasn’t provided substantial relief from the pain. Here are my urine test results: - **Blood:** 10 (Ery/UL, Normal Reference: Negative) - **Urobilinogen:** 8 (Mg/DL, Normal Reference: Normal) - **Bilirubin:** 4 (Mg/DL, Normal Reference: Negative) - **Protein:** Negative (Mg/DL, Normal Reference: Negative) - **Nitrites:** Positive (Reference: Negative) - **Ketones:** Negative (Mg/DL, Normal Reference: Negative) - **Glucose:** Negative (Mg/DL, Normal Reference: Negative) - **pH:** 6 (Reference: 5.0-7.0) - **Specific Gravity:** 1.000 (Reference: 1.010-1.030) - **Leukocytes:** 25 (Leu/DL, Normal Reference: Negative)
Answers (1)
12/16/2025, 10:10:38 PM
OpenHealth AI
Your urine test results suggest that you may have a urinary tract infection (UTI). The presence of nitrites and a high number of leukocytes typically indicates the presence of bacteria and inflammation associated with a UTI. The blood in your urine further supports this diagnosis. Importantly, the symptoms you’re experiencing—burning sensation, discomfort, fever, fatigue, and now blurry vision—are concerning and signal that this situation requires prompt attention.
Explanation
- Nitrites: Their presence often indicates that bacteria responsible for UTIs are present in your urine.
- Leukocytes: A high count indicates inflammation, often due to infection.
- Blood in Urine: This can be linked to irritation or infection in the urinary tract.
Given that you haven't seen any improvement with Macrobid and are developing new symptoms like a fever and blurry vision, you're right to be concerned about the necessity for a different antibiotic or further evaluation.
Next Steps
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Monitor Symptoms: Keep track of any new or worsening symptoms such as increased fever, increased fatigue, or changes in vision. These changes need to be addressed quickly.
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Hydration: Stay well-hydrated by drinking plenty of water; this can help flush the urinary tract.
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Rest: Allow your body to recover, especially since you're feeling fatigued.
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Pain Management: If Azo isn’t providing relief, an over-the-counter pain reliever like ibuprofen (if no contraindications) can help manage discomfort in the short term.
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Follow-Up: Since your symptoms have not improved and you have developed new concerns, consider reaching out to your healthcare provider before the urine culture results are back. Explain the ongoing symptoms and ask if a change in antibiotic therapy or further testing is necessary.
It's important to stay proactive with your health. If you develop severe symptoms, such as intense abdominal pain, difficulty urinating, or chills, seek immediate medical attention.
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