Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Recurring UTI?
Question: Concerned with results of urine test. I have had numerous UTI in past as a result of Prostatitis. Will seek professional help on matter next week, but in meantime need to know what you think. Here are some flagged results: Ketones-trace, protein-trace, Leuk Esterase-trace, casts-6-10/LPF, WBC-3-5/HPF, no growth in culture. I am 49, male, otherwise healthy just mild vit D def. thanks
Brief Answer:
needs further investigation
Detailed Answer:
Hi,
I went through the query and understood your concern.
Ketones trace: Usually ketones present in uncontrolled diabetic . Since repeated UTI is also a feature of diabetes I advice you to check for Glucose tolerance test. This is to check for sugar levels at different time points with sugar intake and hence help in diagnosis.
Protein trace: Low levels of protein in urine are normal. Small increases in protein in urine usually aren't a cause for concern, but larger amounts may indicate a kidney problem.
Leukocyte esterase: It is screening test used to detect white blood cells in the urine. Along with this WBC 3-5/HPF is present. So this raised level may mean you have a urinary tract infection.
Casts may present due to any recent UTC, kidney or ureteric stones injuring the mucosa, kidney problem etc. Since you had numerous UTI in past, the cast may be due to it.
Trace of protein, WBC (leuk esterase), Cast may be present in any local injury due to ureteric stones or in infection.
Culture shows no growth and this suggest effectiveness of recent antibiotics used for UTI or no infection right now.
So in summary,before you seek professional help you needs to get evaluated for diabetes, renal function test and an ultraund scanning of abdomen and pelvis may be helpful to rule out if any problem.If UTI symptoms like burning micturition, urgency or fever present then needs to take a course of antibiotic. Mean time drink plenty of water.
I hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them.
Wish you good health.
Regards
needs further investigation
Detailed Answer:
Hi,
I went through the query and understood your concern.
Ketones trace: Usually ketones present in uncontrolled diabetic . Since repeated UTI is also a feature of diabetes I advice you to check for Glucose tolerance test. This is to check for sugar levels at different time points with sugar intake and hence help in diagnosis.
Protein trace: Low levels of protein in urine are normal. Small increases in protein in urine usually aren't a cause for concern, but larger amounts may indicate a kidney problem.
Leukocyte esterase: It is screening test used to detect white blood cells in the urine. Along with this WBC 3-5/HPF is present. So this raised level may mean you have a urinary tract infection.
Casts may present due to any recent UTC, kidney or ureteric stones injuring the mucosa, kidney problem etc. Since you had numerous UTI in past, the cast may be due to it.
Trace of protein, WBC (leuk esterase), Cast may be present in any local injury due to ureteric stones or in infection.
Culture shows no growth and this suggest effectiveness of recent antibiotics used for UTI or no infection right now.
So in summary,before you seek professional help you needs to get evaluated for diabetes, renal function test and an ultraund scanning of abdomen and pelvis may be helpful to rule out if any problem.If UTI symptoms like burning micturition, urgency or fever present then needs to take a course of antibiotic. Mean time drink plenty of water.
I hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them.
Wish you good health.
Regards
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.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
