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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Strong Odour In Urine And Dysuria?

Hi my urine smells of mushy peas mostly if I get up to urinate in the night when I have the smell I know urination will be painful I ve been to my gp who is sure I have ic also the urge to go is very painful I also have pain in my ureatha and also constant thrush which I ve been on medication for over a year the pain can be unbearable which results in pain to walk if you wouldn t mind in telling why my urine smells like mushy peas
Mon, 7 Mar 2016
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General & Family Physician,  's  Response
Hi thanks for asking question.

you have foul smelling urine.And painful urination also.

so here we want to rule out urinary tract infection.Do your urine routine microscopic examination.If it show pus cells and bacteria then it should be treated with antibiotic like cefixime or ofloxacine.

If no improvement with use of antibiotic then antibiotic given according to culture and sensitivity.

Meanwhile -drink more water
-avoid excess spicy food
-Avoid smoke
-Green leafy vegetables
-cranberry juice helpful
-fruit juices helpful
Mostly with these measures you will improve.

If profuse discharge with foul smell then trichomonas like infection can present for which urine routine examination helpful.Metronidazole given for it.

If discharge is curd white like then candidiasis like infection can be thought and culture done for it.If culture show fungus treated accordingly.

Meanwhile if no improvement USG done for detection of stone, prostatitis etc.

I hope my suggestion will be helpful for you.

Regards
:Dr.parth goswami
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What Causes Strong Odour In Urine And Dysuria?

Hi thanks for asking question. you have foul smelling urine.And painful urination also. so here we want to rule out urinary tract infection.Do your urine routine microscopic examination.If it show pus cells and bacteria then it should be treated with antibiotic like cefixime or ofloxacine. If no improvement with use of antibiotic then antibiotic given according to culture and sensitivity. Meanwhile -drink more water -avoid excess spicy food -Avoid smoke -Green leafy vegetables -cranberry juice helpful -fruit juices helpful Mostly with these measures you will improve. If profuse discharge with foul smell then trichomonas like infection can present for which urine routine examination helpful.Metronidazole given for it. If discharge is curd white like then candidiasis like infection can be thought and culture done for it.If culture show fungus treated accordingly. Meanwhile if no improvement USG done for detection of stone, prostatitis etc. I hope my suggestion will be helpful for you. Regards :Dr.parth goswami