Since you seem to be offline, Ill leave a response here which we can discuss later on
Well from what you are describing it seems evident that you may have developed an infection in the urinary tract which may include the bladder or even the kidney. This is because presence of 20-50 WBCs/hpf in the urine is a quite a lot and is not explained by many things apart from an infection. Similarly, 5-10 RBCs are also indicative of an infection in the urinary tract as well. It is possible that you may have a kidney stone which can cause WBCs due to infection and RBCs because of the stone itself in the urine. Now the next best step here is to get a urine culture done which would show if there are any bacteria present in the urinary tract. Secondly if there are no bacteria, then the possibility of interstitial cystitis would arise, this is a condition in which there is inflammation of the urinary bladder because if an autoimmune cause and would be diagnosed on a cystoscopy.
Now one last thing it is possible to have a UTI even without any prominent symptoms of burning, frequency, dark colored urine, lower abdominal pain, back pain, foul odor to the urine. In the early stages it is possible that you can be asymptomatic. So i would suggest that you follow up with your doctor with a urine culture and an ultrasound and see what they show.
Do you have any more questions?
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