Burning sensation while urinating. History of correction of inguinal hernia and epispadias. Help - Online Doctor Chats
This is Dr XXXXXXX
How are you?
I am fine
i Need your suggestions with regards to my brothers health
How can I help you?
He is 24 yrs old
let me give you a little background
all these years he was fie
now since october 2011 he is complaining of burning sensation while urinating
Has he undergone a urine examination?
we consoluted a urologists and was prescribed anti-biotics
but it did not help him
Which antibiotics, do you remember?
and this helped him a lot
several tests were done like cyctoscopy
according to our urologist everything seems to be normal
but the current situation is if he skips nitrofurantoin for one day the buring sensation is back and is very severe
curently he is taking NIFTAS 50 mg
I think XXXXXXX a good first step would be do to get a urine culture and sensitivity
Not sure how to proceed
urine culture shows no signs of bacteria
If there are no bacteria, there should be no relief with nitrofurantoin
This is an antibiotic
when he started complaining last year E.cli was found
It is known XXXXXXX that E.coli can be extremely resistant to most antibiotics
Lets do one thing
Get a urine culture and sensitivity done at a reputed lab and tell them to do a delayed culture as well
Its possible we're missing something really simple
So lets not start with complicated investigations
Was a urethroscopy also done?
yes i believe
in XXXXXXX 2012
It was normal
yes it was normal
Can I speak with your brother directly XXXXXXX
It would be much better for me as a physician
currently he is not hear with me
We can arrange a call
sure when would it be possible
whenever it would be convenient for him
Let me know a good time
probably tomorrow at 10 am
We'll arrange it
Can you give us his number?
and his name please?
Another thing XXXXXXX
please tell me
I would like you to post a query on Ask a specialist
Give your brother's history and upload his reports
We will send the query to a urologist
It will take 15 minutes of your time
and will not cost you anything
sure i will
should i expect a call from you tomorrow morning?
is there anything else I can help you with?
no thank you very much, it was ice talking to you
Thank you for consulting me
Have a great day ahead
thank you, you too.
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