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Sodium urate crystals found in urine

I have been struggling to get over what I thought was a UTI for the past month. (I was given a course of cipro without my Naturopathic Doc doing a urinalysis because I was going out of town the day after my symptoms began). I took the cipro (it was a short dose- 3 days, taken 2 times per day), and started to feel better. Then about a week later symptoms came back, tried to treat it naturally and then decided to try the cipro again. After this something still didn't feel right and I suggested a kidney infection as I had started having some back pain. My doctor checked my urinalysis (which I did take after the 2nd round of cipro, and they also did a culture) and said she found sodium urate crystals in my urine.
Her suggestion was to decrease my protein and alcohol intake (I'm an extremely healthy 29 yr old female), and to start drinking cherry juice on a daily basis to flush out the sodium urate crystals. I've noticed very small bubbles in my urine lately. My urine also looks very thick. I'm seeing a lot about being major kidney issues associated with these bubbles. Should I be doing something a little more aggresive than cherry juice to address the sodium urate crystals?
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Avatar universal
Thank you for your reply. Just an update in regards to some of your suggestions: I had a pap smear about two months ago and it did show inflammation, but was negative for STDs. So, I am focusing on the bladder/kidney side of things.

After my 2nd round of cipro, I did another urinalysis and it came up clear (other than my doctor later finding sodium urate crystals), showing no signs of bacteria related to UTI. And, as my ND and I are looking further into this issue, trying to piece things together, I did increase my protein and Vitamin D intake (significantly) about two weeks before all of these symptoms began. If my kidneys are not processing Vit D and protein properly- it would explain the sodium urate/kidney stone symptoms.

All of that being said, I'm going back for another urinalysis tomorrow to see if they can find anything more significant than sodium urate crystals (my last urinalysis was three weeks ago--after the 2nd cipro round--and since them my symptoms have worsened).

I will keep you posted. Thanks again for your reply.
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Avatar universal
Hi,
     How are you? Urinary tract infection is an inflammatory response of the urothelium to bacterial invasion that is usually associated with bacteriuria and pyuria. The complete examination of urine has by tradition been divided into macroscopic and microscopic evaluation.

The macroscopic analysis of urine includes assessment of physical characteristics of urine (appearance, odor, specific gravity) and chemical analysis. Microscopic analysis of the constituents of urine is performed on either an unspun specimen or, more usually, the sediment from centrifuged urine specimens.

As, you already have been on two rounds of ciprofloxacin, there might be no indication of infection, but sodium urate crystals indicate the presence of renal colic, as well as UTI. Also, change in the consistency of urine and presence of bubbles in it is indicative of UTI or STD. I would suggest that you visit a urologist and get a ultrasound abdomen with urine analysis and STD panel done.
All the best.
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