Hi Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concern. There can be lot of problems that can causes blood in urination along with bacteria 10-12/hpf, pus cells/epithelial cells. 1.Most common is Urinary tract infection Urinary tract infection (UTI), is an infection that affects part of the urinary tract. When it affects the lower urinary tract(more common) it is known as a simple cystitis and when it affects the upper urinary tract it is known as pyelonephritis. Symptoms from a lower urinary tract include painful urination and either frequent urination or urge to urinate. While the symptoms of pyelonephritis include fever and flank pain in addition to the symptoms of a lower UTI. In some cases, a painful burning sensation in the urethra may be present. 2. Stones in the kidney, bladder or ureter can sometimes get detached & cause trauma of urinary tract causing blood or rbc in urine. 3.Trauma by Vigorous exercise 4.Benign prostatic hyperplasia 5. Other uncommon kidney and Urinary tract problem including tumour So you should visit a nephrologist. Don t worry you would be fine Hoping your query is solved.