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افتراضي What does having nitrites in urine mean?

نقرتين لعرض الصورة في صفحة مستقلة MNT - Hourly Medical News Since 2003



نقرتين لعرض الصورة في صفحة مستقلة MNT - Hourly Medical News Since 2003






What does having nitrites in urine mean?


Last reviewed Fri 30 March 2018
By Jenna Fletcher
Reviewed by Carissa Stephens, RN, CCRN, CPN
  1. What are nitrites?
  2. What causes nitrites in urine?
  3. Seeing a doctor
  4. Tests
  5. Treatment
  6. Complications
  7. Outlook

Urinary tract infections are the most common cause of nitrites in urine. These occur when bacteria infect the bladder, ureters, or kidneys.A doctor can easily diagnose a urinary tract infection (UTI) by testing a urine sample. Being diagnosed and treated at an early stage can lead to a quick reduction in symptoms and prevent complications.
What are nitrites?

Nitrites are byproducts of nitrogen waste. Bacteria responsible for an infection feed on this waste, breaking it down into nitrates, which can appear in the urine.
Nitrituria is the medical term for nitrates in the urine.
What causes nitrites in urine?

نقرتين لعرض الصورة في صفحة مستقلة

Nitrates in the urine may be a sign of a UTI.
The most common cause of nitrituria is a UTI. This infection can occur in any part of the urinary tract.
UTIs usually affect the bladder and urethra, which together make up the lower urinary tract.
Infections in the bladder or urethra often have the following symptoms:
  • pelvic pressure
  • frequent and urgent need to urinate
  • blood in the urine
  • painful urination
  • lower abdominal pain
  • burning during urination
  • dark or cloudy urine
  • foul-smelling urine
UTIs can spread upwards, through ducts called the ureters, and infect the kidneys.
Symptoms of a kidney infection include:
  • a high fever
  • shaking chills
  • back or flank pain
  • nausea
  • vomiting
  • malaise
Kidney infections can be very serious. They may require hospitalization and intravenous administration of antibiotics.

When should a doctor test for nitrites in urine?

نقرتين لعرض الصورة في صفحة مستقلة

A test for nitrites may be done during pregnancy, before surgery, or if a catheter is needed.
A doctor will order a urine sample to test for nitrites if a person shows any indication of a UTI.
They may also order a test for nitrites in the following situations:
  • during pregnancy
  • as part of a routine checkup
  • to monitor known kidney conditions
  • prior to surgery
  • as part of a diabetes screening
  • during hospitalization, especially when a catheter is required
What to expect during the test

The doctor will order a noninvasive test called a urinalysis. It involves analyzing the urine and can provide results within minutes.
Before the test, a healthcare provider will give the person a sterile plastic cup and cleansing wipes for their genitals. The person will then collect a urine sample in a private bathroom. After urinating into the cup provided, the person will replace the cap and return the sample.
A technician will place several rods, or dipsticks, in the sample. These will test for the presence of nitrites, white blood cells, and protein in the urine. They may also determine pH or acidity levels.
If the urinalysis reveals signs of infection, such as nitrites and white blood cells, a doctor may prescribe antibiotics right away. Or, they may need to send the urine to a lab, to determine what kind of bacteria is present, before prescribing antibiotics.
نقرتين لعرض الصورة في صفحة مستقلةFive home remedies for UTIs
Learn how to alleviate symptoms of a urinary tract infection at home and when to see a doctor.
Read now


Treatment

Antibiotics are usually the first line of treatment when nitrites appear in urine. A doctor will take into account the individual's medical history, any allergies, and the type of bacteria, if it is known, when prescribing an antibiotic.
A doctor may prescribe an alternate antibiotic for someone who is pregnant, as some can be harmful during pregnancy.
A person with a UTI should drink plenty of water to dilute the urine and help to flush out bacteria.
If infection spreads to the kidneys, a person may be hospitalized and administered intravenous antibiotics and fluids.

Complications

نقرتين لعرض الصورة في صفحة مستقلة

If an infection of the lower urinary tract reaches the kidneys, complications may occur.
UTIs in the lower urinary tract cause very few complications when treated promptly.
However, if an infection reaches the kidneys, the following complications can occur:
A pregnant person who has symptoms of infection should see a doctor as soon as possible. UTIs may cause preterm labor or low birth weight.
Outlook

The most likely cause of nitrites in urine is a UTIs. Most UTIs, especially those in the bladder and urethra, are easy to treat and will clear up within a week of taking antibiotics.
If left untreated, a UTI in the lower tract can spread to the kidneys and cause more severe complications.
Anyone with symptoms of a UTI or kidney infection should see a doctor as soon as possible.


Related coverage

نقرتين لعرض الصورة في صفحة مستقلة
What's to know about kidney infection? A kidney infection, or renal infection, happens when bacteria infecting the bladder or urethra spread to at least one of the kidneys. In most cases, treatment will merely involve oral antibiotics. We discuss who is at risk for this common condition, as well as symptoms, diagnosis, and complications. Learn more here. Read now


نقرتين لعرض الصورة في صفحة مستقلة
Everything you need to know about bladder infection In this article, learn about what a bladder infection is. What are the symptoms, can it be prevented, and are there any home remedies that may help? Read now


نقرتين لعرض الصورة في صفحة مستقلة
Can baking soda treat a UTI? In this article, we take a closer look at how safe and effective baking soda is for treating urinary tract infections, otherwise known as UTIs. Also, we recommend other home remedies and treatments for the symptoms of UTIs, which can be uncomfortable and debilitating but are a common occurrence, especially for women. Read now


نقرتين لعرض الصورة في صفحة مستقلة
What can you do to induce urination? Learn about nine ways to make yourself pee when you are unable to go. We also look at when someone might need to induce urination, and when to seek help. Read now


نقرتين لعرض الصورة في صفحة مستقلة
All you need to know about UTIs in men Learn all about urinary tract infections in men, which are less frequent but can be more serious than UTIs in women. We look at symptoms and treatments. Read now






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Urology / Nephrology


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  • Article last reviewed by Fri 30 March 2018.

    Visit our Urology / Nephrology category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Urology / Nephrology.

    All references are available in the References tab.



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