Cloudy Urine: Causes, Infections, and Treatment Options - Urology

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Cloudy urine


Hello Doctor: Following up on the previous question, the test report shows CRP <0.1.
Aerobic result: Aerobic culture positive.
Organism 1: Streptococcus agalactiae.
I went to the hospital for a check-up due to cloudy urine.
Please help me interpret the report.
Is there a bacterial infection? Do I need to return to the hospital for medication? I am hesitant to go back due to the pandemic.
If no medication or further follow-up tests are needed, I will not return for a consultation.
Thank you.

nina, 30~39 year old female. Ask Date: 2021/06/07

Dr. Du Shixi reply Urology


Hello: For your reference, 1) If the urine continues to show the same turbidity, you should seek medical attention.
2) If you experience urinary symptoms such as frequency, low volume per void, or dysuria, you should seek medical attention.
3) If there are no symptoms, and the urine color is normal, you can observe the situation and consider having a urinalysis later.
Wishing you good health.

Reply Date: 2021/06/07

More Info


Cloudy urine can be a concerning symptom that often indicates an underlying issue, such as an infection or other medical conditions. Based on your report, the presence of Streptococcus agalactiae (Group B Streptococcus) in your urine culture suggests a bacterial infection. This organism is commonly associated with urinary tract infections (UTIs), particularly in certain populations, including pregnant women and individuals with compromised immune systems.

The fact that your C-reactive protein (CRP) level is <0.1 indicates that there is likely no significant systemic inflammation occurring at this time. However, the presence of Streptococcus agalactiae in your urine culture is a clear indication that you may need treatment, especially if you are experiencing symptoms such as cloudy urine, discomfort, or any other urinary symptoms.

In terms of treatment options, antibiotics are typically prescribed to clear bacterial infections. The specific antibiotic would depend on the sensitivity of the organism to various medications, which is often determined through culture and sensitivity testing. If your healthcare provider has not yet prescribed antibiotics, it is advisable to follow up with them, even if you are hesitant to visit the hospital due to the ongoing pandemic. Many healthcare providers now offer telemedicine consultations, which can be a safer alternative to in-person visits.

It is important to address this infection promptly, as untreated UTIs can lead to more serious complications, including kidney infections. Symptoms of a UTI may include increased frequency of urination, urgency, burning sensation during urination, and lower abdominal pain. If you are experiencing any of these symptoms, it is crucial to seek medical attention.

If you are concerned about going to the hospital, consider contacting your healthcare provider to discuss your symptoms and the results of your urine culture. They may be able to prescribe antibiotics without requiring an in-person visit, depending on your situation and their protocols.

In addition to seeking treatment, there are several preventive measures you can take to reduce the risk of future urinary tract infections. These include:
1. Hydration: Drink plenty of fluids, especially water, to help flush out bacteria from your urinary tract.

2. Hygiene: Maintain good personal hygiene, especially after using the bathroom and during menstruation.

3. Urination Habits: Urinate before and after sexual intercourse to help clear any bacteria that may have entered the urethra.

4. Avoid Irritants: Limit the use of irritants such as douches, powders, and scented products in the genital area.

5. Cranberry Products: Some studies suggest that cranberry juice or supplements may help prevent UTIs, although they should not replace medical treatment.

In conclusion, based on your urine culture results showing Streptococcus agalactiae, it is advisable to seek treatment for your infection. While your CRP level is low, indicating no significant inflammation, the presence of bacteria in your urine warrants attention. Please consider reaching out to your healthcare provider for guidance on the next steps, and do not hesitate to ask about telehealth options if you are concerned about visiting in person. Your health is important, and addressing this issue promptly can help prevent further complications.

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