Brief Answer:
Evaluate for causes of UTI with sterile urine
Detailed Answer:
Hi there,
Thanks for your query.
Usually, empirical (presumptive) diagnosis is made of UTI due to bacterial infection, and a course of antibiotics is given, with no response.
The infection can also be due to yeast or a parasite (Trichomonal), which are normally not looked for in the urine. These infections respond to anti-fungal and anti-amebic drugs respectively.
Other conditions which mimic UTI are:-
* hypertrophic bladder wall (called
Interstitial Cystitis), in which the urine shows no organism;
* infection in Pouch of XXXXXXX
*
Vaginal infection due to yeast or
herpes, chlamydia,
trichomoniasis.
*
Kidney stones
*
Pelvic Inflammatory disease (PID)Interstitial cystitis (
painful bladder syndrome).
Hence, in your case, persistence of UTI symptoms with a no organisms isolated in urine, should prompt your doctor to investigate for the above mentioned causes.
Consult your doctor and apprise him of my opinion. I am certain that he will agree with my opinion; order required tests, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised.
Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Dr. Rakesh Karanwal
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