HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Pregnant. Blood And Leukocytes In Urine. No Painful Urination. Have Back Pain. UTI Without Nitrites?

Hi, I am a 29 year old female, 29 weeks pregnant. I have no chronic health issues. This is my 6th baby. My BP is normal, so is the CBC I had last week. 2 hr pp glucose is normal. Last week I noticed trace amounts of blood in my urine when I test with the chemstrip 10 tests. Two days ago there is a large amount of blood in my urine as well as a small amount of leukocytes. It does not hurt when I pee, but I have strange back pain that I have never had before. Can this be a UTI without the presence of Nitrites? Or could I be looking at something different? What is the best plan of action?- I have limited health insurance:(
Thanks,
Noelle
Tue, 9 Jul 2013
Report Abuse
General & Family Physician,  's  Response
HI Noelle and thanks for this query.

Reviewing the above symptoms, I think we need to be concerned of a kidney stone. They are generally more common during pregnancy as a result of the relaxing effects of progesterone. Back pain, blood in urine and leucocytes without any germs are very suggestive, If this be the case, then the entire urine is going to be stained with blood.

It could still be a UTI. Not all UTI present with nitrites on dipstick. It is typical is the UTI is caused by a gram negative bacilli which are the most comon causes. If the UTI is caused by another germ, you will not have this. UTI are also more common during pregnancy.

For now, i will suggest you get consulted, do an abdominal ultrasound, a urine culture. This will make the picture clearer. You may also take some pain medications and increase oral fluids intake. It is of great help in either case.

Hope it helps and provides guidance on how to approach this problem.
I wish you a healthy pregnancy and a safe delivery.
Dr. Ditah, MD.
I find this answer helpful
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Back pain


Loading Online Doctors....
Pregnant. Blood And Leukocytes In Urine. No Painful Urination. Have Back Pain. UTI Without Nitrites?

HI Noelle and thanks for this query. Reviewing the above symptoms, I think we need to be concerned of a kidney stone. They are generally more common during pregnancy as a result of the relaxing effects of progesterone. Back pain, blood in urine and leucocytes without any germs are very suggestive, If this be the case, then the entire urine is going to be stained with blood. It could still be a UTI. Not all UTI present with nitrites on dipstick. It is typical is the UTI is caused by a gram negative bacilli which are the most comon causes. If the UTI is caused by another germ, you will not have this. UTI are also more common during pregnancy. For now, i will suggest you get consulted, do an abdominal ultrasound, a urine culture. This will make the picture clearer. You may also take some pain medications and increase oral fluids intake. It is of great help in either case. Hope it helps and provides guidance on how to approach this problem. I wish you a healthy pregnancy and a safe delivery. Dr. Ditah, MD.