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Confirmation of UTI - 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 : 2005
Answered : 2305 Questions
User :   my girlfriend is having pain in her lower abdomen and we also just took the azo test for uti. she came up positive for high leukocytes and negative for nitrites. could this be a uti? or maybe something more serious. we have been to the hospital twice to know avail and she is still having pain.
Doctor :   Hi
Doctor :   Dr xxxx here
Doctor :   Let me read your query
Doctor :   Her age?
User :   19
Doctor :   Ok
Doctor :   Is she having associated fever?
User :   no
Doctor :   Can you breif me the results
User :   on what ?
Doctor :   Like Puss cells/ redblood cells
Doctor :   Urine analysis
User :   well its just a home test and the strip just turns purple for high leukocytes
Doctor :   Is she facing burning sensation while urinating
Doctor :   Ok
User :   yes a little
Doctor :   I thought you have got an urine analysis done
User :   yes at the hospital
Doctor :   In that case i would suggest an urine analysis
Doctor :   Burning sensation is seldom present with UTI
User :   shes had 2 but the doctor diagnosed her with increased gall bladder wall size
Doctor :   And any history of Per vaginal discharge
Doctor :   Ok
User :   yes a year ago
User :   2 yrs ago sorry
Doctor :   Ok
Doctor :   I would suggest an antiboitic course
Doctor :   Because i suspect an UTI from the hsitory mentioned
Doctor :   Are you sexually active?
User :   ok and what if the doctor says she doesnt need antibiotics cause because they didnt give her any before
User :   yes we are sexually active and use protection
Doctor :   Ok
Doctor :   In case of UTI either cold be bacterial or fungal
Doctor :   Bacterial infection will require antibiotics and fungal will require only topical creams
User :   ok so do i tell the doctor to give her antibiotics
Doctor :   He will do so after getting her urine analysis done
Doctor :   Get her tested and then can decide on antibiotics
User :   ok and does that test for anything else because as i said we are sexually active. but always use protection
User :   she also has a brown bloody discharge
Doctor :   Ok is her periods regular?
User :   yes but she took one pill of birth control and never took it again
Doctor :   Ok
Doctor :   Then thats the cause
User :   you think thats the cause for real
Doctor :   Its always present because when birth control pills are taken they trigger an hormonal surge which results in irregular bleeding
Doctor :   And the other cause could be an unsafe sex
User :   we dont practice unsafe sex
User :   and she has stinging in her lower abdomen
Doctor :   I guess you will also require an home pregnancy test done
User :   the condom has never broken
Doctor :   I am explaining probabilities
User :   oh ok
Doctor :   either due to birth control pills or existing preganacy
User :   she has had the pain weeks ago
Doctor :   Does she have the pin before too during periods
User :   first the pain was in her upper right abdomen and now its in her lower right and it makes her dizzy
User :   and she just came off her period so she cant be pregnant
Doctor :   I meant is it present during all periods during mensus
User :   its present sometimes not all the timw
Doctor :   Ok then its common
Doctor :   because due to iregular hormonal regualtion before preganancy
Doctor :   The issue is sorted out after her first pregnancy
Doctor :   Usually the condition is managed by using Pain killers like brufen \
User :   ok so now your suggesting the probablilty of pregnancy when she just got off her period 3 weeks ago
Doctor :   And hot fomentation ( rolling over a glass bottle filled with hot water over the abdomen)
Doctor :   You mean she missed one?
User :   no she had it
Doctor :   Then need not worry
User :   3 weeks ago is fine than
Doctor :   Then it a hormonal imbalance related
Doctor :   Which is common in early puberty
Doctor :   And usually settles down aftyer first pregnancy
User :   i dont think she would have abdomen pain if she was pregnant also
Doctor :   During erly stages of pregnancy will hav pain in lower abdomen too
Doctor :   There will be contractions present favouring oba implantation which could cause the pain
User :   ok so you suggest i test her/
Doctor :   If she missess her period
Doctor :   But for now will suggest an urine analysis
Doctor :   Did you follow?
Doctor :   Thanks for consulting me
User :   ok
Doctor :   Bye for now
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