Understanding My Urinalysis Results: Insight Needed
I was informed that the cause of my urinary tract infection (UTI) symptoms was actually musculoskeletal pain. I’d appreciate anyone who can clarify my urinalysis findings for me. Here are some details about my health: - Age: 33 - Weight: 110 lbs - Height: 5'6" - Non-smoker - Previous history of UTIs and kidney infections - Current medications include Cosentyx for psoriasis and I was treated with Macrobid followed by Augmentin. Also, I've been taking Tylenol for pain, which hasn't been effective. We'll get to the urine test results shortly. Initially, I was prescribed Macrobid for my UTI. However, following a culture that identified Klebsiella, they transitioned my treatment to Augmentin. After a week of taking Augmentin, I experienced severe pain, a high fever of 103°F, chills, nausea, and vomiting. This situation reminded me of a previous septic episode from a kidney infection. When I went to the emergency room, my blood pressure was alarmingly high at 182/122, my pulse was 170, and I had a temperature of 101°F. However, my white blood cell count was normal, and a CT scan yielded no concerning results. There were red blood cells visible in my urine, but the doctors didn’t identify any issues and suggested I might have a muscle strain instead. They proceeded to collect a urine sample for culture and allowed me to go home. Five days later, the culture revealed Nakaseomyces glabrata, and when I inquired whether this required treatment, my doctor said it wasn’t necessary. He then requested additional cultures and another urinalysis set for 10 days post my antibiotic treatment. I completed the urinalysis today, but my doctor won’t review the results until my next appointment in two months. I am curious whether these findings might shed light on the pain I've been experiencing. I'm in significant discomfort, and I'm apprehensive about being told it’s just muscle pain. I may need to return to the emergency room soon, especially since I can’t stop vomiting from pain, but I hesitate to go if these findings are standard. Here are the specifics of my urinalysis results: - WBC/hpf: 11-25 (Reference range: 0-5) - RBC/hpf: 0-2 (Reference range: 0-2) - Epithelial Cells/hpf: 11-25 (Reference range: 0-10) - Casts: None detected - Crystals: Many Calcium Oxalate (Reference: 0) - Mucus: 2+ - Bacteria: 1+ - Yeast: 1+ budding
Answers (1)
2/18/2026, 12:11:14 AM
OpenHealth AI
It sounds like you’re going through a very challenging time with significant pain and discomfort. Your urinalysis results do suggest some changes that could help explain your symptoms and may need attention.
Summary of Your Urinalysis Findings
- White Blood Cells (WBC/hpf): Elevated (11-25; normal is 0-5), which can indicate inflammation or infection.
- Red Blood Cells (RBC/hpf): At the upper limit of normal (0-2), indicating possible minor bleeding.
- Epithelial Cells: Elevated (11-25), which could suggest some irritation or damage to the urinary tract lining.
- Crystals: Presence of many calcium oxalate crystals, which can occur due to dehydration or dietary factors and might indicate kidney stone formation.
- Bacteria and Yeast: Presence of both could suggest a possible mild infection or irritation.
Explanation
- Elevated White Blood Cells: This elevation often suggests inflammation or infection, which might link to your past UTI history or another underlying issue.
- Calcium Oxalate Crystals: These are commonly associated with kidney stones, which can lead to significant pain. Their presence might necessitate further evaluation.
- Bacteria: Even though it was noted at a low level, bacteria in urine, combined with the elevated WBCs and symptoms like nausea and vomiting, could indicate an infection that needs to be re-assessed.
- Yeast: The presence of yeast (like Nakaseomyces glabrata) should generally be ignored in the absence of symptoms, but it should also be monitored, especially if your discomfort continues.
Next Steps
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Pain Management: Given your significant pain and vomiting, it may be wise to seek immediate medical attention if these symptoms escalate or if you're unable to manage them at home (e.g., persistent high fever, severe pain, inability to keep food down).
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Hydration: Ensure you stay well-hydrated, especially if you're experiencing vomiting. This is critical to help prevent any potential complications, such as kidney stones.
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Follow-Up on Urinalysis: Since your doctor hasn’t reviewed your urinalysis for two months, consider reaching out for an earlier consultation, particularly if your symptoms haven’t improved or worsen.
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Keep a Symptom Diary: Track your symptoms (pain levels, when vomiting occurs, changes in urinary symptoms) to provide detailed information to your healthcare provider for better management.
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Evaluate Dietary Factors: Consider discussing dietary intake and hydration with a healthcare professional, especially regarding calcium oxalate stones and the best foods to minimize their formation.
Important Note
If your discomfort becomes unmanageable or if you notice any new concerning symptoms (like severe pain, persistent fever, or trouble urinating), please do not hesitate to seek emergency care. It's essential to prioritize your health and not ignore your distress signaling for help.
Feel free to share any further details or questions as you navigate this challenging situation. You are not alone in dealing with this, and it’s okay to seek clarity and support.
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