This urinalysis is consistent with a urinary tract infection. I would suggest getting a urine culture done. As for the slightly elevated albumin to creatinine ratio (ACR), I would not place any stock in it until the infection (if present) is treated. An inflamed bladder can definitely increase the value of the ACR.

Dr. Jordan Weinstein

Thank you very much. I have no signs whatsoever that would indicate a UTI which is why it is worrying me so much.

I would still suggest excluding a UTI as they can be asymptomatic. If no infection is present, then a microscopic exam of your urine is warranted.If the white cells and ACR elevation is persist, then a workup for that should be undertaken. As part of that assessment, you should have your kidney function tested as well.

Dr. Jordan Weinstein

Hello Suzanne,
I just happened t come across this post and i have the exact same condition and my doctor has not figured out why? What is happening with you? Any update would be helpful for me. Please post.

Hi Jen,

Sorry my doctor also hasn't figured it out. Since posting this article I have had 3 lots of antibiotics for a UTI and still haven't got any further as that's clearly not the problem.
Sorry I can be of much help but will keep you updated with any news.

Thank you Suzanne for writing back. I got a referral for a Urologist and have not got the appointment yet since my doctor couldn't figure out what was happening. Try getting a referral to the urologist since they specialize in bladder concerns. I will keep you posted.