Can a double plus sign (++) for cocci bacteria heal on its own?
Dec 02, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
If the two-plus sign for cocci comes from tests such as routine urine analysis or vaginal discharge examination, and the infection is localized without significant discomfort (such as frequent urination, urgency, itching, or odor), and if the individual has a strong immune system, the body may clear the bacteria and achieve spontaneous recovery by drinking more water, maintaining good local hygiene, and keeping regular作息 (daily routines). Such cases are often mild colonization or minor infections that do not require immediate medication.
In general, whether a "two plus" result for cocci can resolve spontaneously depends on the nature of the infection. Mild, asymptomatic cases with good immune function may self-resolve, whereas infections with obvious symptoms or those occurring in specific anatomical sites are less likely to resolve without treatment. If in doubt, it is recommended to seek medical advice promptly. Detailed analysis is as follows:
If the "two plus" cocci result comes from tests such as routine urine analysis or vaginal discharge examination, and the infection is localized without significant discomfort (e.g., frequent urination, urgency, itching, or odor), and if the individual has strong immunity, the body may naturally eliminate the bacteria by increasing fluid intake, maintaining good local hygiene, and following a regular lifestyle. These cases often represent mild colonization or minor infection and may not require immediate medication.
However, if the "two plus" cocci result is accompanied by clear symptoms (such as fever, pain, or significantly increased abnormal discharge), or if the infection involves critical systems like the respiratory tract or bloodstream, or if the individual has weakened immunity (e.g., elderly, children, or patients with chronic diseases), spontaneous recovery is unlikely. The bacteria may continue to multiply, leading to more severe or systemic infections. Prompt treatment with appropriate antimicrobial agents is necessary to control disease progression.
After detecting a "two plus" result for cocci, individuals should evaluate their condition based on symptoms and the site of infection. Asymptomatic cases may be observed for 1–2 weeks with repeat testing. If symptoms develop or there is no improvement upon retesting, prompt medical consultation is advised to confirm the type of infection and receive standardized treatment as prescribed, avoiding delays that could worsen the outcome.
