Answer

Thank you for the additional information.

First, I want to confirm that a urine culture was done. A urine culture does not look for blood. A urinalysis would demonstrate blood, etc. A urine culture is sent to the lab and results do not come back for 2 days. The culture determines exactly what bacteria is causing the infection and what antibiotic will get rid of the infection.

It does sound like you are having symptoms of a bladder or prostate infection. A urine culture would demonstrate a bladder infection but not always a prostate infection. If you have a prostate infection (prostatitis), treatment often needs to be for 4-6 weeks. The prostate is tender on exam if you have this type of infection.

Kidney stones are another possibility. If the stone is in the bladder, it would cause irritative symptoms (pain, frequent urge to urinate), microscopic blood in the urine.

I think the next step is to return to your doctor, have another urinalysis with urine sent for culture, prostate exam and likely a referral to a urologist.

Feel free to ask any follow up questions.

Dr Abby

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