Hi, and thanks for your medical question on eHealth forum!
Yes, it is possible to have normal bacterial count and yet there be symptoms of UTI. This is actually called acute urethral syndrome.
The various causes are urinary stenosis, localized trauma, hypersensitivity following urinary tract infection, hormonal imbalances, inflammation of the Skene glands and the paraurethral glands, allergic reactions to certain foods, douches, bath soaps and liquid wash, soaps, contraceptive gels, condoms etc, or dysfunction of the pelvic floor musculature.
Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your gynecologist once. Hope this helps. Take care!
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