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What Causes Burning Sensation While Passing Urine?
Question: I am suffering from burning sensation while passing urine from last 25 days, done routine urine test -15 pus cell are there, then went for culture for bacterial growth which was normal, doctor prescribe Disodium hydrogen citrate liquid, I have finished 2 100ml. It is better but not fully cured, how long should one can take and any side effect of this, please help. AND
Brief Answer:
Antibiotics and investigations
Detailed Answer:
Hi.
Do you mean to say that you have not taken antibiotics?
15-20 pus cells in the urine are definitely an indication of 3 weeks course of an antibiotic.
Take plenty of oral fluids; the most important part is to try to take maximum possible liquids / Water in one go, in a short period of time. This helps to cause forced diuresis, flushing the infection/ stones out of the urinary system.
You may stop Disodium citrate if there is no relief' there are no side effects but it is not helping you either.
I would advise such patients the following:
Investigations of blood- CBC, Sugar, Urea and creatinine
Urine - review; routine, microscopy, culture and sensitivity.
Ultrasonography of the abdomen, particularly for urinary system.
Consultation of an Urologist and Cystourethroscopy if there is no relief after an effective therapy.
IVP- Intravenous Pyelography if need be / though by your Urologist.
Start on an antibiotic treatment as per prescription of your Doctor.
I hope this helps you to take an appropriate course of action to get a proper diagnosis and cure.
Antibiotics and investigations
Detailed Answer:
Hi.
Do you mean to say that you have not taken antibiotics?
15-20 pus cells in the urine are definitely an indication of 3 weeks course of an antibiotic.
Take plenty of oral fluids; the most important part is to try to take maximum possible liquids / Water in one go, in a short period of time. This helps to cause forced diuresis, flushing the infection/ stones out of the urinary system.
You may stop Disodium citrate if there is no relief' there are no side effects but it is not helping you either.
I would advise such patients the following:
Investigations of blood- CBC, Sugar, Urea and creatinine
Urine - review; routine, microscopy, culture and sensitivity.
Ultrasonography of the abdomen, particularly for urinary system.
Consultation of an Urologist and Cystourethroscopy if there is no relief after an effective therapy.
IVP- Intravenous Pyelography if need be / though by your Urologist.
Start on an antibiotic treatment as per prescription of your Doctor.
I hope this helps you to take an appropriate course of action to get a proper diagnosis and cure.
Above answer was peer-reviewed by :
Dr. Yogesh D
My CBC, urea, cretine , Sugar, under normal limit, do you think should I wait some more time or go for sonography, is it necessary.... So I will do it, I am going for urine routine tomoro, and if that is normal should I go for antibiotic or can be avoided, if antibiotic ..., can you recommend, please help.
Brief Answer:
USG ASAP
Detailed Answer:
Good to know that your blood, tests are normal.
Ultrasonography should be done as soon as possible ( ASAP).
Please ask for urine culture and sensitivity again.
Since you had pus cells in urine and still have a clinical problem, you should take antibiotics in consultation of your treating Doctor / Urologist.
Take a course of 3 weeks. Oral antibiotics like Oflaxacin / Cefixime or Doxcycyclin in consultation with your Doctor for appropriate dosage and duration.
I prefer to give antibiotic cover for 3 weeks.
USG ASAP
Detailed Answer:
Good to know that your blood, tests are normal.
Ultrasonography should be done as soon as possible ( ASAP).
Please ask for urine culture and sensitivity again.
Since you had pus cells in urine and still have a clinical problem, you should take antibiotics in consultation of your treating Doctor / Urologist.
Take a course of 3 weeks. Oral antibiotics like Oflaxacin / Cefixime or Doxcycyclin in consultation with your Doctor for appropriate dosage and duration.
I prefer to give antibiotic cover for 3 weeks.
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. Vaishalee Punj
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