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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Urination And Enlarged Prostate

On dt 11oct2014 observed severe pain while urinating.reported to doctor .after sonography diagnosed with prostatomegaly 60 cc, calculus 4.9 g, urine tract infection treated with Tazar 4.5 g, pan 40.discharge .dischage on 15oct2014 on dt 05nov 2014 again exprienced similar problem with prostatomegaly 54 cc, pus cells 50 in urine testing, treated for Tazar 4.5 g for 7 days . discharged on 12 nov2014 my query = was the treatment given is correct? Doctor has not given enough care about prostate enlargement.? Is another sonography is needed to chech prostate enlargement your advice please pl note doctor who treated is MD physician not urologist thanks
posted on Wed, 19 Nov 2014
Twitter Tue, 28 Apr 2015 Answered on
Twitter Wed, 29 Apr 2015 Last reviewed on
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Urologist,  's  Response
Hello
Thanks for query.
Based on your statement I would state that you have repeated episodes of UTI secondary to Enlarged prostate .

You need to consult qualified Urologist for clinical and digital Rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine Routine and Urine culture
2) Ultrasound Scanning of abdomen and pelvis with special mention of Post void urine residue.
3) Serum PSA.

In the mean while start taking broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and alpha blocker like Tomsulosin once daily.Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute This will help to control dysuria.

Further treatment will be decided by him based on results of these tests and final diagnosis.
Dr.Patil.


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Suggest Treatment For Painful Urination And Enlarged Prostate

Hello Thanks for query. Based on your statement I would state that you have repeated episodes of UTI secondary to Enlarged prostate . You need to consult qualified Urologist for clinical and digital Rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine Routine and Urine culture 2) Ultrasound Scanning of abdomen and pelvis with special mention of Post void urine residue. 3) Serum PSA. In the mean while start taking broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and alpha blocker like Tomsulosin once daily.Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute This will help to control dysuria. Further treatment will be decided by him based on results of these tests and final diagnosis. Dr.Patil.