How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Abby Your Own Question

Dr. Abby
Dr. Abby, Board Certified MD
Category: Health
Satisfied Customers: 10330
Experience:  Family Physician, practicing medicine for over 10 years, United States
20297917
Type Your Health Question Here...
Dr. Abby is online now
A new question is answered every 9 seconds

Good morning, I am experiencing vaginal burning and difficulty

Resolved Question:

Good morning,

I am experiencing vaginal burning and difficulty urinating. A urinalysis last week showed 2-5 White Blood cells and few bacteria. I am wondering if I have a urinary tract infection. I was doing some research online and found that white blood cells in the urine could indicate a serious illness.

I am a cancer patient with Leokopenia and neutropenia.

Please advise as I am very concerned.

Do my symptoms warrant a trip to the ER?


Respectfully,
Eleanor
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Abby replied 2 years ago.
Eleanor,

Were you having these symptoms when your urinalysis was done?
Are you having a fever?
Nausea?
Back pain?
Any vaginal discharge?
How low was your last white blood cell count?

Dr Abby
Customer: replied 2 years ago.

Thank you for taking my question Dr. Abby.


 


I did have symptoms at the time of the urinalysis.


I had a low grade fever earlier 99.9 and just recently it was 98.3


I did have nauseas earlier today, but it has diminished somewhat, but it is not completely gone.


I do not have any back pain.

Customer: replied 2 years ago.

I have noticed increased vaginal discharge.


My last white blood cell count was 2.6 and neutrophils 1.0.

Expert:  Dr. Abby replied 2 years ago.
Eleanor,

I read over your previous questions and see that you have been treated for pyelonephritis.
Have your symptoms worsened since you have been off of the antibiotics?

Did the vaginal discharge/vaginal burning seem to start with or after the antibiotic treatments?
Customer: replied 2 years ago.

My symptoms have persisted after 2 rounds of antibiotic treatment. Although, they are not as severe as before the first or second round of antibiotics.The vaginal burning seem to have started both before and after the antibiotic treatment.

Customer: replied 2 years ago.

The vaginal discharge seemed to have worsened during antibiotic treatment.

Expert:  Dr. Abby replied 2 years ago.
Eleanor,

Because this has been going on for some time and has not worsened recently (i.e. no sudden development of fever, vomiting, back pain) I do not think you need to go to the ER unless you are unable to urinate. If that happens, you will need to go in order to have a catheter placed so that your bladder can be emptied.

I do not anticipate that will happen...it is something that is much more common in men or after surgery.

Instead, seeing your doctor this morning should be fine. I do think it is important that, along with a repeat urine culture, you make sure that a vaginal exam and culture is done. It is easy to diagnose vaginal infections initially as a UTI.

The antibiotics you were on may have exacerbated an underlying vaginal infection too, (causing a yeast infection).

I hope that you feel better, Eleanor. Please ask any follow up questions you have. I am happy to answer them for you.

Dr Abby
Customer: replied 2 years ago.

Thank you Dr. Abby. Do 2-5 white blood cells in the urine indicate a systemic infection my body is trying to fight?


 


 


 


 


 


 


 


 


 


 


 


thanIy

Expert:  Dr. Abby replied 2 years ago.
No, not necessarily.
The white cells in the urine can be due to a few things--contamination from vaginal secretions or it could be due to a bladder or kidney infection.
However, without systemic signs of infection (fever, for example), it is less likely to be pyelonephritis.

Dr Abby
Dr. Abby, Board Certified MD
Category: Health
Satisfied Customers: 10330
Experience: Family Physician, practicing medicine for over 10 years, United States
Dr. Abby and 7 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery