High White Blood Cells In Urine But No Bacteria – There are all sorts of reasons why your doctor might ask you for a urine sample. You might not think so, but your urine says a lot about your general health, so it’s a useful indicator for a whole host of diagnoses.

Should your sample results show the presence of white blood cells – otherwise known as your ‘white’ cells – you’ll want to pin down possible causes. Dr Matthew Brown, clinical associate for Bupa UK, explains what it can mean for your health when white blood cells show up in a urine sample:

High White Blood Cells In Urine But No Bacteria

High White Blood Cells In Urine But No Bacteria

White blood cells, also called leukocytes or leukocytes, help protect your body from infection. Built constantly in your bone marrow, they patrol your body and rush to your defenses at the first sign of infection.

Blood In Urine (hematuria)

‘Think of your white blood cells as your immune cells,’ says Dr Brown. They flow through your blood to fight viruses, bacteria and other sources of infection. White blood cells find sources of infection and help prevent disease.

It is important to note that urine normally does not contain blood cells. When your kidneys filter your blood, removing waste and water to make urine, they don’t allow blood cells to pass through. So what gives?

Most causes of white blood cells in your urine are not serious. However, ‘sometimes it can mean you have a medical condition that needs treatment, such as a urinary or kidney infection,’ explains Dr Brown.

Why? For the same reasons we get white spots on our throats when we have a sore throat and whiteheads on our skin when we have infected acne – the white spots are collections of white blood cells that They make money.

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“It’s important to note that white blood cells are not visible in the urine,” adds Dr. Brown. “They are usually taken when a doctor tests a urine sample that you have provided. If you notice any blood in your urine, it is important to see your doctor immediately.

Inflammation is another reason why white blood cells may be present in your urine, and it can be caused by kidney stones, immune disorders, allergies or growths anywhere along the genitourinary system.

What symptoms are associated with white blood cells in the urine? It all depends on the state of health of those who show them. If a bladder infection is to blame, you may feel pain in your lower abdomen, feel tired or sick, or have pain when you urinate, explains Dr. Brown. .

High White Blood Cells In Urine But No Bacteria

Kidney stones, another possible cause, can cause similar symptoms, including severe back pain, nausea, vomiting or fever. ‘If you’re experiencing any unusual symptoms, it’s best to get them checked out by your GP,’ he added.

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What is the next step? If you have white blood cells in your urine, your doctor may ask you some questions to find out what’s causing it, explains Dr. Brown.

If they suspect an infection, they may prescribe you antibiotics and send a urine sample for culture and sensitivity to identify any microorganisms.

‘If this happens, it’s important that you complete the full course of antibiotics, even if you start to feel better,’ says Dr Brown. ‘The doctor may change your antibiotics when these are the results of your urine sample, and if your symptoms have not cleared up.

If no infection is present, further tests to measure kidney function and X-rays will be needed to define the shape of the kidneys. Alternatively, your doctor may suggest a cystoscopy, which allows the doctor to look inside your bladder using a narrow flexible telescope.

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“If the cause is unclear, your doctor may request other tests based on your age and other symptoms,” says Dr. Brown. It is important to remember that your doctor should discuss the next steps with you. If you have any questions, it is best to tell your GP. Urinalysis is part of routine prenatal tests to diagnose any medical conditions during pregnancy, including kidney infections, preeclampsia and XA pregnancy disorders characterized by high blood pressure, water retention. and protein content in urine. , and gestational diabetes i XA condition due to hormonal and physiological changes in pregnancy due to high blood sugar levels. . It also detects the increase of leukocytes in the urine during pregnancy, which indicates the presence of any infection or inflammation of the genitourinary or urinary tract. You may also need a urine test to check the function of the mother’s organs (1) (2).

Read on to know the causes, risk factors, symptoms, diagnosis, treatment management, and preventive measures of leukocytes or white blood cells (WBCs) in urine during pregnancy.

Leukocytes or WBCs are a part of your immune system and include granulocytes (neutrophils, eosinophils, and basophils), monocytes, and lymphocytes (T cells and B cells). Together, these WBCs help the body fight infections and other diseases.

High White Blood Cells In Urine But No Bacteria

Usually, measuring the leukocyte count is part of a complete blood cell count (CBC) test (3). However, if urinary tract infections (UTIs) or inflammation are suspected during routine testing, your healthcare provider may recommend a urine test for the presence of leukocytes (especially neutrophils). to find out. Normally, urine is sterile, so the normal range of leukocytes in urine is low, ie 5 WBCs per high power field (WBC/HPF) (4).

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According to Dr. Alan Lindman, an internist who was also a former clinical associate professor at the University of North Dakota, Grand Forks, “

Leukocytes in the blood and urine are elevated during pregnancy, but normal depends on where you start. If your non-pregnant WBC is 5000, then a WBC of 10,000 or 11,000 is probably normal for pregnancy, but if you started your pregnancy with a higher WBC, your normal may be up to 15,000.

A urine WBC may not indicate a bladder infection, but it can predict trouble. An elevated WBC may represent a group B strep infection, so a urine culture is needed because a group B strep bladder infection can lead to kidney infection and premature labor or birth.

X, also known as urinary retention, is the obstruction of the flow of urine through the bladder or urethra. . Also, the majority of potential changes in the width of the urinary tract occur during this phase (8).

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Symptoms of WBCs or leukocytes in the urine sample of pregnant women can vary depending on the underlying cause. Some of these symptoms include (13) (14)

There are two ways to check for leukocytes in the urine during pregnancy: a clean catch urine sample or sterile catheterization. With more vaginal discharge in pregnancy, sterile catheterization is the most accurate test for leukocytes during pregnancy.

Leukocyte esterase test results can be affected by how urine samples are stored. There is a chance that a positive sample may become negative after being stored for 24 hours (19).

High White Blood Cells In Urine But No Bacteria

The urine extract of the fresh urine sample is centrifuged at 1500 to 3000 rpm for five minutes and recovered in the residual liquid for analysis. A drop is deposited on a clear glass slide, covered with a coverslip, and viewed under a microscope.

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XA An automated screening device that analyzes urine to diagnose urinary tract infections (UTIs). . Therefore, urine samples from pregnant women may occasionally test positive for WBCs (20).

Treatment options may vary depending on the cause and elevation of leukocytes in the urine. Some standard treatments that can be included in your prenatal care regimen help balance or reduce leukocyte levels in the urine during pregnancy.

Treatment should be started soon after detection of high levels of leukocytes in the urine sample to prevent adverse pregnancy outcomes. Some complications of pregnancy include (10)

Here are some ways that can help prevent elevated leukocytes in the urine and improve the health of the mother (13) (18):

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Yes. Normally, you can have 0-5 WBC/HPF in your urine even when pregnant. However, if the level exceeds 5 WBC/HPF, it may be a sign of infection or inflammation in the urinary tract, and treatment may be required (4).

Yes. In addition to UTI, an increase in leukocytes in the urine of a pregnant woman may be caused by cystitis, pyelonephritis, or various genital infections, which increase the risk of a fatal complication in the fetus. However, fetal death is rare in such cases (10).

A prolonged presence of extra leukocytes in the urine may indicate an acute underlying infection. Severe infections may cause other symptoms. Therefore, immediate treatment is necessary to avoid adverse effects on the health of the mother and fetus.

High White Blood Cells In Urine But No Bacteria

A high level of leukocytes in the urine during pregnancy can be caused by various infections caused by bacteria or fungi. Symptoms of high leukocyte levels depend on the underlying cause but may include frequent urination, fever, and nausea. The condition is usually detected during routine urine tests done during pregnancy, after which, depending on the cause and severity, you will be prescribed antibiotics or home remedies. Therefore, the condition can be managed with timely and effective medical intervention. However, a delay in treatment can lead to an extreme increase in leukocytes, which can increase complications.

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The presence of increased leukocytes in the urine during pregnancy indicates an underlying infection. Identify early symptoms

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