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अगर मेरी यूरिनलिसिस नेगेटिव है लेकिन उसमें WBC और बैक्टीरिया दिख रहे हैं और पीठ में दर्द हो रहा है, तो इसका क्या मतलब है?
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Kidney & Urinary Health
Question #29659
53 days ago
167

अगर मेरी यूरिनलिसिस नेगेटिव है लेकिन उसमें WBC और बैक्टीरिया दिख रहे हैं और पीठ में दर्द हो रहा है, तो इसका क्या मतलब है?

Client_a01dbb

नमस्ते डॉक्टर, मैंने हाल ही में एक यूरिन टेस्ट करवाया और उसके नतीजों को समझने में आपकी मदद चाहूंगा। मेरी यूरिन एनालिसिस (डिपस्टिक) पूरी तरह से नेगेटिव थी, जिसमें प्रोटीन (एल्बुमिन) भी शामिल था। हालांकि, माइक्रोस्कोपी में ये दिखा: * डब्ल्यूबीसी: + * बैक्टीरिया: + कभी-कभी मुझे हल्का झागदार यूरिन दिखाई देता है जो जल्दी गायब हो जाता है, और मुझे पीठ में दर्द के साथ-साथ शरीर में सूजन जैसा महसूस हो रहा है।

How long have you been experiencing back pain?:

- 1-4 weeks

How would you describe the intensity of your back pain?:

- Moderate — affects daily activities

Have you noticed any other symptoms accompanying the back pain?:

- No other symptoms

How often do you notice the foamy urine?:

- Frequently

Do you have any history of urinary tract infections (UTIs)?:

- Yes, multiple times

Have you made any recent changes to your diet or hydration habits?:

- Increased water intake

How would you rate your overall energy levels lately?:

- Average energy
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
52 days ago
5

Hello

When a urine test shows WBC (+) and bacteria (+) but no protein, it most commonly means there is a urinary tract infection (UTI) or inflammation in the urinary system, rather than kidney damage. The absence of protein is actually a reassuring sign because significant kidney disease — such as Glomerulonephritis or Chronic Kidney Disease — usually causes protein to appear in the urine.

White blood cells in urine indicate that the body is responding to infection or irritation, and bacteria confirm that microbes are present. Given your history of frequent UTIs and your current back pain for 1–2 weeks, this pattern most strongly suggests a lower UTI or possibly early kidney involvement, such as Pyelonephritis, especially if the pain is in the flank or lower back.

Foamy urine that disappears quickly is usually not true protein foam; it is often due to urine flow speed, mild dehydration, or concentration. Persistent foam that stays for minutes would be more concerning for protein, but your negative dipstick makes that unlikely right now.

One important nuance is that sometimes dipstick can be negative while microscopy shows WBC and bacteria if the infection is mild, early, or if the sample was slightly contaminated. However, with your symptoms and history of recurrent infections, this result should be taken seriously enough to confirm.

What this means in practical terms is: you likely have infection or inflammation, not kidney failure. The next useful step is usually a urine culture to identify the exact bacteria and guide the right antibiotic, especially because recurrent infections can develop resistance.

You should seek medical review sooner (within 24–48 hours) if any of the following appear: fever, chills, worsening back pain, burning urination, vomiting, or feeling very unwell — those would raise concern for Acute Pyelonephritis.

Overall, your results are common, treatable, and generally reversible, and the lack of protein is a good sign for kidney health.

Take care

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
51 days ago
5

Hello dear See as per test results it seems presence of infection due to Bacteria White blood cell Probably diagnosis includes Uti infection preferably pseudomonas Glomerulunephritis Nephrotic syndrome Bladder issue Iam suggesting some tests Please share the result with urologist in person for better clarity Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Urine analysis Urine culture Kidney USG Hopefully you recover soon Regards

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It sounds like your urinalysis is a bit of a mixed bag right now. The dipstick test being negative means that the basic markers like glucose, ketones, or blood weren’t detected. However, the presence of white blood cells (WBCs) and bacteria in your urine microscopy suggests there might be an infection such as a urinary tract infection (UTI). This is typically where some bacteria in the urine are accompanied by an inflammatory response, indicated by the WBCs. Back pain can sometimes be related to a UTI, especially if the infection has spread to the kidneys, a condition called pyelonephritis. This can be a bit more serious and usually requires more aggressive treatment than a lower UTI. The foamy urine you mentioned occasionally noticing would typically be associated with larger amounts of protein in your urine, but since your dipstick didn’t show protein, it may not be significant. Keep in mind, occasional mild foamy urine can sometimes be just from more concentrated urine or rapid urination. With your symptoms and the lab findings, it’s important to check this out further. See a health professional soon to consider a more comprehensive evaluation, potentially including a urine culture. This will pin down the specific type of bacteria causing the infection and guide the most effective antibiotic treatment. Until you can see someone, stay hydrated, as this helps flush out your urinary tract. But if you have any fever, nausea, vomiting, or severe pain, seek medical attention promptly. Such symptoms could mean a kidney infection or another serious condition.

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