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Cause of increased frequency of urine - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   i have frequent urination
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please describe your symptom in detail
User :   I am 45 years old have frequent urination f(atleast once every hour) which started aboput 2 weeks ago. i have already completed all exams including urine analysis, culture. I also got checked for Prostate through ultra sound and got blood sample for diabetes which is also -ve. Initially, i was prescribed Norflox 400mg thiniking it was UTI.
Doctor :   ok. after starting on medications did you feel any improvment?
Doctor :   is there any family history of diabetes?
User : dad is diabetic, but like i mentioned, i keep checking regularly and my sugar post brandial is around 100 and fasting is around 80.
Doctor :   do you have any other symptoms associated with your frequent urination?
User :   Not much. I also want to get tested for STD to make sure it is not because of that.
Doctor :   ok. please describe your other symptoms in detail. it will help to decide if you need STD testing .
User :   There is no other symptom. It's just frequent burning or pain.
Doctor :   ok. how did the symptoms start? was there any incident that precipitated your current symptoms?
User :   None. It just started happening about 2 weeks ago.
Doctor :   ok. did the culture report also came back negative?
User :   Yes.
Doctor :   how much water do you drink per day?
User :   about 2 to 2.5L
Doctor :   ok. then I would suspect possibility of cystitis in your case which is difficult to diagnose with the regular tests that you have already underwent
Doctor :   i would recommend you to visit a urologist, and discuss about getting a cystoscopy done to rule out/confirm the cystitis
Doctor :   if cystitis is found to be present, then you might need higher antibiotics given intravenously to tackle the problem
Doctor :   continue to drink about 2.5-3 L of water per day
Doctor :   avoid spicy and oily food, have fruit juices, preferably citric fruit juice or cranberry juice
User :   I did consult a urologist and after looking at my ultrasound and x-ray reports, he ruled out cystoscopy. However, he has recommended 2 medications - trofame xr and urimax
Doctor :   ok. did he start you on them?
User :   He has given me the prescription I am yet to start. But i wanted to rule out STI since i had sex about 2 months ago which was not my partner
Doctor :   ok. then get started on the prescription given, they are alkanizers
Doctor :   to help you with the control of frequency of urination.
Doctor :   and in the meantime get a STD screening test done to see if any STD is present
Doctor :   STD symptoms would include itching discharge from penis, rashes, swollen lymph nodes etc.
User :   I don't have any of those symptoms. How and what tests do i need for STD
Doctor :   you will need to request for a full STD screening test
Doctor :   it consists of blood tests and semen tests to look for infections transmitted via sexual route
User :   OK..Thanks
Doctor :   is there anything else I can help you with?
User :   No, thanks for your time.
Doctor :   thanks for consulting me. bye for now
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