What causes high white blood cells and high bacteria in a female's routine urine test?

May 16, 2023 Source: Cainiu Health
Dr. Zhao Xinju
Introduction
In women, a routine urine test showing high white blood cells and high bacteria levels may indicate conditions such as urethritis, cystitis, or trichomonal vaginitis. It is important to accurately diagnose the condition in order to provide appropriate treatment. Besides these causes, pyelonephritis or other conditions could also be responsible. Treatment should be tailored according to the specific diagnosis. If patients are uncertain about their condition, they should go to the hospital for further examination.

Elevated white blood cells and bacteria in a female urine test may be due to urethritis, cystitis, or trichomonas vaginitis. It is important to accurately diagnose the condition and provide appropriate treatment. Specific analysis is as follows:

1. Urethritis

Urethritis is usually caused by urinary tract injury, infection from adjacent organ inflammation, or unhygienic sexual activity. When urethritis occurs, large numbers of bacteria are present in the urethra. White blood cells enter the urinary tract via the bloodstream to fight the infection, leading to the aforementioned findings. Treatment may include medications such as levofloxacin hydrochloride capsules, azithromycin tablets, or amoxicillin capsules, taken under medical supervision.

2. Cystitis

If a patient has poor immunity, bacterial infections can occur, with bacteria multiplying rapidly at the site and causing bladder inflammation. As bacterial levels rise, white blood cell counts also increase. Patients may experience symptoms such as urgency, frequency, and pain during urination. Treatment may include cefuroxime axetil tablets, Fushenning capsules, or tamsulosin hydrochloride tablets, as directed by a physician.

3. Trichomonas Vaginitis

This is typically a vaginal infection caused by Trichomonas vaginalis. When trichomonads multiply significantly in the local area, they trigger inflammation, leading to increased vaginal discharge, itching, and pain in the external genitalia. During urination, inflammatory secretions may be expelled, resulting in the above-mentioned urinary abnormalities. Treatment may include metronidazole tablets or tinidazole tablets, used according to medical advice.

In addition to the above causes, elevated white blood cells and bacteria in urine may also result from conditions such as glomerulonephritis or prostatitis. Appropriate treatment should be selected based on the specific diagnosis. If patients are uncertain about their condition, they should visit a hospital for evaluation, obtain an accurate diagnosis, and receive treatment under the guidance of a healthcare professional.