If they're are leukocytes in the urine sample and you have symptoms, especially nausea or abdominal pain you probably need antibiotics. If you don't have symptoms you don't need yo treat It. That's what muy urologist says
I had one recently. The doctor ordered a urine culture, which is the best way to know if you have an infection and what kind. But since you said you had all the symptoms, in that case they usually don't wait and give you antibiotics. You can have a culture after you finish the antibiotics to check if the infection is gone. That's what I did
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