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Suggest Treatment For Painful Urination

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Posted on Mon, 27 Mar 2017
Question: Sir
I have some pain while i urinate and it goes after i go urine and not too painful. My urune routine is normal. Can routine be normal and culture negative
doctor
Answered by Dr. T Chandrakant (33 minutes later)
Brief Answer:
as explained in details.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/40 - pan while urinating - goes after you go urine - not too painful - Urine routine is normal - can continue to be normal and culture ....

I am bit confused due to placement of words.
Please tell me again the exact things >> Can routine be normal and culture negative
From the history I can understand that you have pain while you pass urine but the urine test is negative.
This indicates that you have urethritis, that is inflammation of urethra and this can be due to urinary tract infection, can occur after small stones pass through or due to passage of crystals called crystalluria or due to concentrated urine due to less water intake.
Some medicines like norflox can cause similar problems.

If the urine test is negative, please take more water say about 2- 3 liters per day so that it is diluted properly and also repeat the urine test tomorrow to see if there is any positive finding.
Ultrasonography of the abdomen, particularly for genitourinary system may help further to rule out stones or so.

I hope this answer helps you, please feel free to give feedback ask any further queries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (38 minutes later)
Sir
I have given for routine for more than 3 days all are normal. Mild pain when inpass urine in penis is there. My worries went now to prostate. Will there b a cancer there. Pls help me
doctor
Answered by Dr. T Chandrakant (18 minutes later)
Brief Answer:
As detailed below.

Detailed Answer:
Cancer prostate at 40 is very very rare.
So no worries.
I hope you read my answer.
Please take plenty of water.
Repeat Urine test tomorrow.
Get ultrasound of urogenital system.
Add: Get per-rectal examination for palpation of prostate done by a General Surgeon or Urologist.
Blood tests: CBC and PSA - prostate specific antigen.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (7 minutes later)
Sir
I went to a urologist yesturday and i said the prob. He made a rectal exam and said its normal. I had a pain when he touched that area and will it be there for every one. Already went for a cbc on wed itbwas normal. Attached that report. Will b there change in cbc in this period. U might remember me asking cancer dought of colon and it has been solved and now in prostate. My mind is disturbing me too much .
doctor
Answered by Dr. T Chandrakant (7 hours later)
Brief Answer:
As detailed below.

Detailed Answer:
The pain might have been normal prostate sensation that is felt on pressure on prostate. Pain is something that is more and causes you discomfort.
There can be change in CBC on daily basis, important is whether it is within the normal range or not.
Reports not available.
Surely, yes, remember the whole discussions.
I can understand cancerphobia in you.
Well, it is better to have a precaustion.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. T Chandrakant (3 hours later)
Sir
Can cancer phobia make lack of sleep ,appetite. Whole body weak. Not able to concentrate on any work .
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Can be

Detailed Answer:
cancer-phobia can be one of the reasons for the symptoms you have mentioned.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. T Chandrakant (1 hour later)
Sir
Inahve attached my reports given yeaturday. Tieredness and discomfort in urination is there. I was taking kmac for my stone and is there any diff between k mac and alkasim. I got this only i had sex with my wife. Urine culture 1stburine to be given or any urine can b given .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Post urine report, send urine for Chlamydia and as advised.

Detailed Answer:
Thanks for your feedback.
Seen the reports, nothing abnormal as per my knowledge.
I think both are similar syrups, please check the composition as you have bottles with you.
If you have got this after sex with your wife, the possibility is either a rough sex or may be vaginal infection like Chlamydia. Proper treatment will help cure this problem and both of you should take the medication simultaneously.
Request for Chlamydia infection in urine.
Can not see Urine report. Please post .

Try to avoid sex till cured and later on also Condom helps avoid such usual infections that occur in many couples, when there is a long gap between intercourses.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. T Chandrakant (11 minutes later)
Sir
Urine report of routine is normal and will this be seen only in culture or can be seen in routine also. Routine was taken on saturday and its very well normal .
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Fresh sample needed to be sent

Detailed Answer:
Good to know.
Let us get the reports if you have sent for culture and sensitivity.
Chlamydia needs separate test of urine.
Hence please get repeat test.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. T Chandrakant (1 hour later)
Sir do u want me to mention this name and give or plain culture. Do u want me to give morinhg first urine or day urine ie any time. She dost have any symptoms. Can it b witgout symptom for her also. As my other blood reports are nomal what may be symptoms for toeredness
doctor
Answered by Dr. T Chandrakant (46 minutes later)
Brief Answer:
Chlamydia tests

Detailed Answer:
Give morning sample of urine and tell them for Chlamydia tests. First inquire about whether the lab has the facility to check for this.
It can be present in Her without symptoms.
And as I said above the change in the vaginal ph, bacterial flora due to long interruption in sex is the most possible cause in many couples. Was there a long gap or so?

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. T Chandrakant (24 minutes later)
Sir
Checked with 3 to 4 labs. They dont have. What can i di now. Can i try medicine for it. What can do now .
doctor
Answered by Dr. T Chandrakant (18 minutes later)
Brief Answer:
Has Urologist prescribed you some medications?

Detailed Answer:
No problem.
Which medicines have been advised by your Doctors?

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. T Chandrakant (16 minutes later)
Sir
He has not prescribed. Why not u say. Will it be ok without taking madecine. Reg culture of urine we caunt identify it. Can i start ciproflixin .
doctor
Answered by Dr. T Chandrakant (32 minutes later)
Brief Answer:
As discussed in details below.

Detailed Answer:
I am sorry, as you know very well that prescription medicines can not be written here and are not valid too.
If your Urologist has not given anything, we can wait and you are already taking
Alkalinizer - k mac/ alkasim.
Take plenty of oral fluids.
See the results.
If needed antibiotics can be started later on as the urine tests are negative and Chlamydia test is not available. Please ask for 'Lal' Path lab or others of national presence they have the facilities.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. T Chandrakant (14 hours later)
Sir
Found the lab. They charge 3500. Is it some thing wrong in hetting tested for std. why do it come. Having sex with husband and wife also comes and what may be the reason. Is it some where related to HIV. Pls reply asap
doctor
Answered by Dr. T Chandrakant (47 minutes later)
Brief Answer:
No need as explained below.

Detailed Answer:
Let us be very clear again as mentioned above.
NO NEED for STD panel, I never suggested. If there is monogamous relationship, there is no need to go for these tests. If you you are monogamous means single sexual partner throughout life, no need to get STD tested.
I hope, I am very clear and you have no doubts.

There are some diseases that they come among the couple as a normal relationship problem due to many factors like I said, long gaps in sexual relationship changes the local environment. Man can get balanoposthitis if he is working in hot and humid atmosphere, females can get white discharge for no obvious reasons. Sometimes one may sleep immediately after sex forgetting to clean up can also lead to small trivial problems.

I hope, you have a family Doctor. You can discuss with him/her.
How is the burning/pain while urinating now?



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (21 minutes later)
Sir
As you said i may sleep as soon as sex without washing. Will this b a std prob or clamadia. Will this b because of non cleaning after sex may create clamadia. Pls help me .
doctor
Answered by Dr. T Chandrakant (33 minutes later)
Brief Answer:
Cleaning is very important

Detailed Answer:
Since the secretions are rich medium, one can develop mixed infections, hence is the necessity to clean up for both partners to wash the private areas well after sex.
STD is sexually transmitted diseases.
The one we are discussing here are that occur between husband and wife.

I hope you never had any exposure to another partners in life.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (15 minutes later)
Sir
I am little bit a tube light person. Wont able to understand. Can this clamaidyai b because of not washing after sex. Can this priblem cause clamydia. If its a reason i may go for test. Its not related to HiV na. Pls relky me as soon as pasiible
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Any history of exposure?

Detailed Answer:
Why to suppose about something that is not proved. It was part of the discussions about the possible causes of painful urination if the urine test is normal. So there is no need to pin-point about Chlamydia or so.
HIV and such STD is possible only if you have unsafe that is without condom sex with any other person having such diseases.
If you have no such history, you may please please stop worrying.
Did you have any such contacts other than your wife?
Please do not pin-point - as I said mixed infection like balanoposthitis in males and leucorrhea in females even though they do not have any such history. This happens with many and gets cured on proper cleaning and with proper medications if required. People with diabetes or on steroids or such medications and those working in hot and humid condition can get such problems on its own.

I hope this discussion helps clear your doubts.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (11 minutes later)
I have never had sex other than my wife. Clamydia can occur if i dint clean after sex. Is there possiblity get clamydia bcs of it. If then i will talk to my Dr and have tab for that. The Clamdia test is not a STD test. Pls reply asap
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Do not be presumptive please.

Detailed Answer:
Good to know.
IT may not be chlamydia necessarily unless you test positive, hence let us stop talking about chlamydia in particular, I hope you understand what I mean by.
Cleaning is necessary for both of you to avoid overgrowth of mixed infection which may cause symptoms or may be totally asymptomatic.

To reiterated, we talked about Chlamydia as one of the causes of getting painful urination, it is yet not tested nor proved to present in you.
It is an STD test.

Just relax.
What are the reports of fresh urine test or any other tests?
Is there pain in urination today or any other symptoms?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (18 minutes later)
Sir
I have given for that test. I have also given for a routine also. Thos clamadia can be with couple also. Now the pain is after urinating not while. Mild discomfort. What are the other possibilities. Can stress cause .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As detailed below.

Detailed Answer:
We have discussed the causes above , please see.
let us see the reports, till then no worry as the symptoms have reduced.
Stress causes repeated urination, not painful or burning .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (3 days later)
Sir
Clamadiaya is negative. E colinpossitive. Will it give low appetite and tieredness. Uploaded the results .
doctor
Answered by Dr. T Chandrakant (45 minutes later)
Brief Answer:
Get started on proper antibiotic as advised by your Doctor.

Detailed Answer:
Read the reports and your feedback.
Organisms and sensitivity to particular antibiotics noted.
Please consult your Doctor to get started with the antibiotics as per the reports and his experience.
Complete the course for the stipulated time as advised.
Increase oral intake of fluids.
This should help you fully.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (11 hours later)
Sir
Pls help me. I have startted my antibiotic. Nitrofurontion 100 and norflox. Will this exoli make tieredness and i feel so tiered will it make. Pls say me .
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Plenty of oral fluids

Detailed Answer:
No, not in the normal circumstances.
With these antibiotics increase bit of liquid intake, keep well hydrated and there will be no weakness.
Also take Probiotics and multivitamins.
Good food intake and stop worrying.
All the best. Take care.
Please give feedback.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (8 hours later)
Sir
U have seen my report. Is this 100000 is normal or above normal. What is the normal range .
doctor
Answered by Dr. T Chandrakant (0 minute later)
Brief Answer:
As explained below.

Detailed Answer:
This count is more important for prognosis when repeat test is done to see if the count is reducing or not and for a test in which more than one type of bacteria are identifies, then to compare the most prominent one.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (11 minutes later)
Sir
Realy sorry. Not able to ynderstand. Started taking atibiotic. Normal ranges will be there na. Is this 100000 is high or low .
doctor
Answered by Dr. T Chandrakant (7 minutes later)
Brief Answer:
As explained below.

Detailed Answer:
This is definitely a high count and explained above, this matters for the things explained above.
Please stop worrying about such things as they will increase your stress and anxiety, Most important is taking medications properly for full course, to repeat urine tests after three - four days to see whether there is good response or not.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (2 days later)
Sir
I feel better i think. I am taking both antibiotic and viramin a to z one tab a day. I feel my lower calf mussel pain and i eat without much of feel hungry. Can my old anxity and stress makes me think like this and worse me. Pls hep me. My bro says mind will always worse ur symptoms and keep it away. Is it correct. Can mind make me tiered .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
It is correct

Detailed Answer:
Hi.
It is very very true that the mind plays innumerable tricks with brain, soul and heart. So better to keep the worried away as your brother has rightly said.
Has the calf pain be for a long time or started after antibiotics.
Take plenty of oral fluids, ORS solution.
Take rest.
Take sleep of 7-8 hours.
Go out of the routine if required to get to normal asap.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment For Painful Urination

Brief Answer: as explained in details. Detailed Answer: Hi. Thanks for your query. To recapitulate: Male/40 - pan while urinating - goes after you go urine - not too painful - Urine routine is normal - can continue to be normal and culture .... I am bit confused due to placement of words. Please tell me again the exact things >> Can routine be normal and culture negative From the history I can understand that you have pain while you pass urine but the urine test is negative. This indicates that you have urethritis, that is inflammation of urethra and this can be due to urinary tract infection, can occur after small stones pass through or due to passage of crystals called crystalluria or due to concentrated urine due to less water intake. Some medicines like norflox can cause similar problems. If the urine test is negative, please take more water say about 2- 3 liters per day so that it is diluted properly and also repeat the urine test tomorrow to see if there is any positive finding. Ultrasonography of the abdomen, particularly for genitourinary system may help further to rule out stones or so. I hope this answer helps you, please feel free to give feedback ask any further queries.