Hi, I Am Looking For A Urologist And Internist To

Posted on Thu, 19 Sep 2019

Question: Hi, I am looking for a urologist and internist to examine the attached results and let me know how I should proceed. Read the results carefully and some items are high, including protein and glucose in blood work and urine as well.

Note that I had kidney stone and the doctor performed a uterescopy to remove them, I was also diagnosed with acute appendicitis at the same time but was given antibiotics to help fix that (not sure if it did but pain is gone, possibly after kidney stone removal). I am also a Type2 diabetic.

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
No reports attached to your query .

Detailed Answer:
Hello
Thanks for query .

There seems to be some technical error .There are no reports attached to your query.

Please contact customer Care support team of Health Care Magic .Com to attach the reports .

I shall be happy to make a precise comments and suggestions after going through reports
Thanks and Regards.
Dr Patil.

Than

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (12 hours later)

Hi, I uploaded some test results (urine and blood) and a picture of my penis...quick history, I do have type2 diabetes, and was diagnosed with a kidney stone and appendicitis early August, they gave me antibiotics to help the acute appendicitis and did a uterescopy to remove the stones and put a stent in, then 2 weeks ago they did a cystopcopy to remove the stent, I still have a little burning and itching on the inside of my penis, and as you can see a few cuts on the outside foreskin near the urethra and some white substance. What could be causing this? Anything concerning from the reports? How can I help the situation?

Answered by Dr. Dr. P. T. Patil (30 minutes later)

Brief Answer:
You have Genital Fungal infection secondary to uncontrolled diabetes

Detailed Answer:
Hello
Thanks for query .

Based on the facts and reports that you have uploaded you have high HbA1C which suggests that your diabetes is not controlled at all .

The photograph of penis reveals Genital Fungal infection which is common when diabetes is not under control .

High level of serum protein and C reactive protein suggest inflammatory process in body However total proteins are slightly higher than normal and has no significance except it suggest infection and inflammation in body .

Rest of the blood indices are well within normal range .

You need to consult qualified Diabetologist and follow his treatment plan in order to keep your diabetes under control.

For genital fungal infection following treatment would help
1) Tab Fluconazole and Augentin twice daily orally
2) Use topical anti fungal cream (Candid cream) twice daily for local application

Ensure to wash your genital with warm water twice daily

Avoid sexual intercourse as it endangers fungal infection being transmitted to your female partner .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (3 days later)

Hi, thank you. I am also a type2 diabetic (A1c is 11) and recent urine test showed Glucose and Protein in the sugar. The doctor prescribed glimepiride to help control diabetes, is it same to take for my balanitis and above symptoms?

Answered by Dr. Dr. P. T. Patil (8 minutes later)

Brief Answer:
Only Glimepiride will not help to control diabetes

Detailed Answer:
Hello
Thanks for follow up
You have very high level of HbA1c(11) . Taking only Glimepirude will not help to control your diabetes You need to consult qualified Diabetologist for proper evaluations d plan out the treatment as per his advice.

Your Balanitis will get cured only when your diabetes is under control.You need to continue anti fungal drugs prescribed earlier.

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (34 minutes later)

Thanks, but will taking Glimepirude make balanitis and UTI worse?

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
No ,Glimepiride will not affect Balanitis

Detailed Answer:
Hello
Thanks for folllow up .

Glimepiride has action of lowering blood sugar It will not worsen your Balanitis .

Thanks and Regards
Dr Patil.

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