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What Does My Urine Report Indicate?
Question: doctor XXXXXXX I need your help here...I want you please to go through my discussion with Dr . kakkar and check the attached tests results for my urine swab and urine test ...and asking for your professional opinion.....thanks alot
Brief Answer:
Chlamydia and Mycoplasma needs alternative tests.
Detailed Answer:
Hi XXXXXXX
Welcome back to HCM.
Thanks for posting your query.
With regards to your urine examination, it reveals that you are having some infection in your urinary tract, either it might be in the upper urinary tract or urethra. But as your swab also reveals pus cells and bacteria, most possibly the infection is confined to lower urinary tract. Gram stain of the swab did not reveal Gonococcus (STD organism). Gram negative bacilli and gram positive cocci might not necessarily be pathogenic. A culture test might reveal the exact organism and the sensitivity test would reveal the sensitivity of those bacteria to the antibiotics.
According to that we can plan our treatment. As there were Red blood cells also, it is better to have an ultrasound examination to rule out urinary stones and upper urinary tract infection.
STD organisms like Chlamydia and Mycoplasma and Ureaplasma urealyticum would not be detected in Gram's staining technique. Special culture test on cell lining or Blood PCR tests would reveal the same.
Partner also have to be examined and have to treated simultaneously if any STD organisms are there.
Get well soon.
Dr S.Murugan
Chlamydia and Mycoplasma needs alternative tests.
Detailed Answer:
Hi XXXXXXX
Welcome back to HCM.
Thanks for posting your query.
With regards to your urine examination, it reveals that you are having some infection in your urinary tract, either it might be in the upper urinary tract or urethra. But as your swab also reveals pus cells and bacteria, most possibly the infection is confined to lower urinary tract. Gram stain of the swab did not reveal Gonococcus (STD organism). Gram negative bacilli and gram positive cocci might not necessarily be pathogenic. A culture test might reveal the exact organism and the sensitivity test would reveal the sensitivity of those bacteria to the antibiotics.
According to that we can plan our treatment. As there were Red blood cells also, it is better to have an ultrasound examination to rule out urinary stones and upper urinary tract infection.
STD organisms like Chlamydia and Mycoplasma and Ureaplasma urealyticum would not be detected in Gram's staining technique. Special culture test on cell lining or Blood PCR tests would reveal the same.
Partner also have to be examined and have to treated simultaneously if any STD organisms are there.
Get well soon.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
doctor thanks for your answer, attached my blood test for your check....I want your conclusion do I have gonorrhea or other std or no???...specially I feeling tiredness and fast heart bites after one week of treatment by antibiotics....need your help
Brief Answer:
Gonorrhea ruled out.further investigation reveal the cause of cells in urin
Detailed Answer:
Hi,
Welcome back.
I went through your blood report also. Nothing to worry about this.
You are not having Gonorrhea.
But your urethra or urinary tract is inflamed. It needs further investigation to fix the etiology. Your physician will take care of these things. Trust him. He will help you. Dr S.Murugan
Gonorrhea ruled out.further investigation reveal the cause of cells in urin
Detailed Answer:
Hi,
Welcome back.
I went through your blood report also. Nothing to worry about this.
You are not having Gonorrhea.
But your urethra or urinary tract is inflamed. It needs further investigation to fix the etiology. Your physician will take care of these things. Trust him. He will help you. Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks doctor again, my doctor here diagnosed me as gonorrhea and prescribed ciprofloxacin and doxycycline for 10 days after 7 days of medicine I had severe headache and tiredness so I can't trust him any more ....so I need your advice ??? do u think I can stop of antibiotics??? you helped me alot
Brief Answer:
Your treatment goes in a correct direction only.
Detailed Answer:
Hi,
Welcome back.
Ciprofloxacin and Doxycyclin are not drugs of choice to treat Gonorrhea. Better choices of antibiotics are available for Gonorrhea. Your doctor had given you drugs to tackle non gonococcal urethritis (Chlamydia or Mycoplasma) and also non specific UTI. So it seems that your doctor guides you in a correct direction. Don't loose hopes and complete the course and meet him and repeat the investigations on urine. You will be alright soon. If you have severe head ache try to report to him. He will help you. Get well soon.
Dr S.Murugan
Your treatment goes in a correct direction only.
Detailed Answer:
Hi,
Welcome back.
Ciprofloxacin and Doxycyclin are not drugs of choice to treat Gonorrhea. Better choices of antibiotics are available for Gonorrhea. Your doctor had given you drugs to tackle non gonococcal urethritis (Chlamydia or Mycoplasma) and also non specific UTI. So it seems that your doctor guides you in a correct direction. Don't loose hopes and complete the course and meet him and repeat the investigations on urine. You will be alright soon. If you have severe head ache try to report to him. He will help you. Get well soon.
Dr S.Murugan
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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