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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Lower Abdomen With Painful Urination And Trailing Blood?

Woke a few nights ago with pressure in low and. Went to urinate and it was very painful - scant amount out with trailing blood and burning. After the first void the symptoms became much worse very quickly. I started passing blood clots; the largest being the size of a dime. I also passed debris of varying colors. I had to sit in hot water in order to void even a little and it was clots of blood and debris even with scant amounts. I was on vacation and in a hotel suite - am a Registered Nurse and called one of the ER providers where I work. She called in pyridium and macrobid. The symptoms started Sunday am. It is now Friday. I still have constant low and pressure and still have discomfort urinating - even with the meds.
Tue, 9 Jun 2015
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Urologist 's  Response
Hello
Thanks for query,
Based on the facts that you have posted you have UTI (Acute Cystitis.)

Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.

Please take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin with urinary anti spasmodic like Flavoxate twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute This will help to control dysuria.

Dr.Patil
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What Causes Pain In Lower Abdomen With Painful Urination And Trailing Blood?

Hello Thanks for query, Based on the facts that you have posted you have UTI (Acute Cystitis.) Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin with urinary anti spasmodic like Flavoxate twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute This will help to control dysuria. Dr.Patil