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Cystitis,frequent Urination,irritating Sensation In Abdomen And Penis Tip,levofloxacin And Vitamin C,pain In Tendons

Posted on Sun, 20 May 2012

Question: I was diagnosed with cystitis (bladder infection) a couple of weeks ago during which, I went to the urinals too often and felt irritating sensations around my abdomen as well as sensitivity on the tip of my penis. I was prescribed levofloxacin (500mg/2 times daily) and vitamin C (500mg/2 times daily) for a week. But I only felt better occasionally and after a week the doctor had my blood and urine tested again yesterday and found that they were both in normal condition. But today I noticed that I have been to the urinals more often than normal, as if the problem hasn t really changed much. I also began feeling irritated by the sensations and the unstoppable urge to urinate. I am afraid to take levofloxacin again, because after over a week of using it I began to feel pain on my tendons. What am I supposed to do now?

Answered by Dr. Mitaly (1 hour later)

Hi XXXXXXX

Thanks for posting your query

It seems that you are suffering from Prostatitis which is an inflammation of the prostate gland and is very common in this age. It usually mimics the symptoms of cystitis as painful burning urination, increased urge to urinate, pain or discomfort in the abdomen and penis.

Sometimes the urine tests may not show up the infection and in such cases physical examination per rectum and prostatic massage secretion examination helps to analyze further.

In such a case of prostatitis you need lengthier use of antibiotics upto 4 weeks.

Consider visiting your treating doctor for examination and evaluation of the prostate secretions.

Hope I have answered your query.I will be available for follow up query.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mitaly (3 hours later)

But how about the antibiotics, should I be prescribed another type since I am now beginning to feel the side effects, or keep using the same. I tell you my wrist tendons are really painful now. Please advise. Thank you very much.

Answered by Dr. Mitaly (9 minutes later)

Hi XXXXXXX

Thanks for following up.

The described symptoms are suggestive of genitourinary infection, probably prostatitis as mentioned to you in my first answer.

Use of antibiotics without evaluation and test can alter the features of these tests leading to misdiagnoses. Though you may need more antibiotics, I suggest you not use them yet. Primary consultation with an urologist or a review from your previous healthcare provider is necessary to rule out this possibility.

Tendon pain is a rare side effect of Levofloxacin. Discuss with your doctor as you review with him. regarding he will probably prescribe an alternative effective antibiotic.

Wishing you fast recovery.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mitaly (3 hours later)

Hi. Thanks for your quick reply. My doctor thinks that I will be better after a few days of taking vitamins c, b complex. Should I tell him tomorrow to check me so prostatitis can be ruled out or just finish the full course of medication before asking for a more thorough check? And if I have a problem with my prostates, could that have been detected in my blood sample tested today, which according to him was normal?

Answered by Dr. Mitaly (14 hours later)

Hi XXXXXXX

You can continue the vitamins and observe if there are any changes.Even after finishing the course if the symptoms persist get your self evaluated to rule out prostate inflammation.It might not be possible to detect prostatitis in simple Blood sample tests.

Take Care!

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. Chakravarthy Mazumdar