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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Burning At The Tip Of Penis While Urinating With Foamy Bubbles. Sometimes Brown Particles. Taking Asacol. Urine Culture And Blood Tests Normal. History Of Testicular Cancer.

Frequent urination 10-13 Times a day. Slight burn in tip of penis after for a few minutes. Foamy/bubbles almost every time. Sometimes white or Brown particles in urine. 29yr old male has Chrons disease and had testicular cancer 10yrs ago. Currently taking Asacol 400mg 3 pills a day. Urine culture came back normal as did blood tests.
Tue, 19 Nov 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
I would come up with these possibilities for urine related symptoms , these includes.
1 Chronic renal failure, diagnosis can be confirmed by ultrasound of both kidney with serum cratinine and blood urea examination .
As you mentioned that you were treated for testicular tumor 10 years ago so it is very necessary to rule out involvement of kidney for metastasis.
2 Brown particles in urine may be due to renal stone or urinary tract system .As you mentioned that there is foamy urine . Once again get in urine complete for phosphates and protein particles.
3 As you are taking asacol 400 mg i.e.mesalamine . This is indicated for Chron's disease ( ulcerative colitis) . Some times side effect of mesalamine causes kidney damage in few cases . Diagnosis can be confirmed by renal function test.
In my opinion consult a nephrologist ans get his opinion with complete renal function test.
Good luck. Dr. HET
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Burning At The Tip Of Penis While Urinating With Foamy Bubbles. Sometimes Brown Particles. Taking Asacol. Urine Culture And Blood Tests Normal. History Of Testicular Cancer.

Hello, Thanks for the query to H.C.M. Forum. I would come up with these possibilities for urine related symptoms , these includes. 1 Chronic renal failure, diagnosis can be confirmed by ultrasound of both kidney with serum cratinine and blood urea examination . As you mentioned that you were treated for testicular tumor 10 years ago so it is very necessary to rule out involvement of kidney for metastasis. 2 Brown particles in urine may be due to renal stone or urinary tract system .As you mentioned that there is foamy urine . Once again get in urine complete for phosphates and protein particles. 3 As you are taking asacol 400 mg i.e.mesalamine . This is indicated for Chron s disease ( ulcerative colitis) . Some times side effect of mesalamine causes kidney damage in few cases . Diagnosis can be confirmed by renal function test. In my opinion consult a nephrologist ans get his opinion with complete renal function test. Good luck. Dr. HET