Irritable bowel syndrome was the
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First-testosterone mc thing I thought of as well. This is a disorder that is associated with alternating diarrhea and constipation as well as irregular bowel movements. The initial treatment would be increasing the fiber in your diet, as you are doing. Other treatment could include antispasmodics and Zelnorm (which is indicated for constipation-predominant IBS in women). Before settling on the diagnosis of IBS, I would suggest an endoscopy to make sure there is nothing more serious going on.
Regarding the increased white cells in the urine, infection is the most likely cause - even with the negative culture. If you are having odorous urine, I would probably suggest being treated for a UTI and seeing if the WBC's clear. If there continues to be white cells despite antibiotics, I would consider a referral to a urologist or nephrologist (kidney doctor) for further evaluation.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Also the urine culture is always negative for any growth. So my question is why do I have white blood cells in my urine?