athealreads
Reading guide

Reading a urinalysis

Appearance, chemical testing, and microscopy each reveal a different part of the sample.

Reviewed by Atheal’s health team
Reading the results together
MarkerWhat it adds
Urine Specific GravityHelps describe how concentrated the urine is.
Urine NitriteA chemical clue that some bacteria may be present.
Urine Leukocyte EsteraseA dipstick clue to white cells in urine.
Urine RBCs (microscopic)Looks for red blood cells under the microscope.
[1] [2]

Read the method as well as the result

A dipstick checks chemical reactions. Microscopy looks for cells, crystals, and casts. These findings help explain one another; they are not all measurements of the same thing. [1]

Chemical testingSchematic illustration; not to scale. No patient results are shown.Chemical testing

Urine Nitrite A chemical clue that some bacteria may be present.

Urine Leukocyte Esterase A dipstick clue to white cells in urine.

MicroscopySchematic illustration; not to scale. No patient results are shown.Microscopy

Urine RBCs (microscopic) Looks for red blood cells under the microscope.

Read the method as well as the resultSchematic illustration; not to scale. No patient results are shown.

Symptoms still matter with negative nitrite

Not all bacteria make nitrite, and urine needs time in the bladder for nitrite to form. A negative result does not rule out a urinary infection. Symptoms and other findings guide whether a culture is needed. [2]

Give the sample a fair chance

Follow the laboratory’s clean-catch and delivery instructions. Tell it about menstruation or collection difficulties, because material from outside the urinary tract can affect the sample. [1] [2]

A question to take with you

Do these findings fit my symptoms, and was the sample collected reliably?

Sources & references

  1. Mayo Clinic: Urinalysis ↗
  2. MedlinePlus: Nitrites in Urine ↗
The atheal team · Content prepared: 2 October 2026

Practical-section sources accessed: .

For general health education. Interpreting your result and deciding on tests or treatment requires your health context and a qualified clinician.