Understanding My Lab Results: No UTI Detected – What's Next?
I’m following up regarding my previous post about my frequent urination issue while taking Prozac. On Monday, I visited my physician, and the preliminary results indicated a urinary tract infection (UTI). However, I received the official lab results today, which show no signs of a UTI. Interestingly, since being prescribed Macrobid, I've noticed that my urination frequency has actually increased. I reached out to my primary care doctor, endocrinologist, and psychiatrist, and I’m currently awaiting their responses. Given that my latest test results are negative, I’m starting to suspect that the Prozac may be the culprit behind this frequent urge to urinate. I’m trying to determine whether I should head to the emergency room or urgent care, which is quite a source of stress for me. The bright side is that I haven’t noticed any blood in my urine, which I hope indicates that things aren’t too serious. However, needing to use the restroom every 20 to 40 minutes is quite disruptive, and I’m at a loss regarding the best course of action! Below, I’m sharing my lab findings for reference. Thank you for your help! ### Healthcare Provider Comment "Hi, no signs of a UTI" ### Test Results - **Specific Gravity:** 1.028 (Normal) - **pH:** 7.0 (Normal) - **Urine Color:** Yellow (Unknown) - **Appearance:** Clear (Unknown) - **WBC Esterase:** 1+ (Out of Range) - **Crystals:** - Crystal Type: Mucus Threads (Unknown) - Bacteria: (Few, Unknown) - Yeast: NP (Unknown) - Trichomonas: NP (Unknown) - **Urinalysis Reflex:** NP (Unknown) - **Epithelial Cells (Non-renal):** 0-10 (Unknown, 0-10/hpf) - **Epithelial Cells (Renal):** NP (Unknown) - **Casts:** None Seen (Unknown) - **Urine Culture, Routine Result:** NP (Unknown) Overall, I am still trying to figure out what might be causing this irritating situation.
Answers (1)
2/5/2026, 7:30:49 PM
OpenHealth AI
It sounds like you’re really concerned about the frequent urination you’re experiencing, especially after your negative UTI results. While it's comforting that there's no UTI, your symptoms can definitely be troubling and disruptive. We're going to look at what you can consider next and how to manage your situation.
Explanation
Frequent urination can indeed have multiple causes. Since your lab results ruled out a UTI, some potential factors to consider include:
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Medications: Prozac (fluoxetine) can sometimes cause increased urination as a side effect. Macrobid (nitrofurantoin) is typically prescribed for UTIs, so if it hasn’t alleviated your symptoms, it might not be effective if UTI is not the issue.
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Excessive Fluid Intake: Sometimes, increased fluid intake or certain dietary factors can lead to increased urination.
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Other Medical Conditions: Conditions like diabetes or bladder irritability might also present with frequent urination.
Next Steps
Here’s what you can focus on now:
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Monitor Symptoms: Keep track of your urination patterns and any associated symptoms (like urgency, pain, etc.). Note if anything seems to trigger the need to urinate, like fluid intake or specific foods.
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Hydration Management: Ensure you’re drinking an adequate but not excessive amount of fluids. Sometimes reducing intake, particularly in the evening, can help manage nighttime trips to the bathroom.
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Medication Review: Since you suspect Prozac, it would be wise to inform your doctors about this observation when they respond. They may need to assess whether your current medications are the right fit for you.
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Follow Up Soon: Since you’re already in touch with multiple healthcare providers, make sure to follow up with them promptly for a more comprehensive evaluation.
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Emergency Care Caution: If you develop any severe symptoms (e.g., severe pain, fever, or difficulty passing urine), seek urgent care to rule out any other serious issues.
Reassurance
It’s understandable to feel stressed, especially when symptoms are disruptive and unclear. Noticing no blood in your urine is a positive sign. You're taking all the right steps by consulting your healthcare team, so stay engaged and don't hesitate to share your concerns with them. You're not alone in this, and together with your doctors, you will figure out the best way forward.
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