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Increased frequency in urination with pain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1762 Questions
Doctor :   Hi
Doctor :  
How can i help you
User :   Hi
User :   I would like to follow up on a discussion I started here a few weeks ago regarding urinary pain
Doctor :  
Please proceed with your query
User :   I have some test results as advised to sure as well
User :   To summarize, I have been experiencing increased urination frequency over the past 2 years
Doctor :  
ok
User :   and some burning in the urethra / penis
Doctor :  
ok
User :   and more recently have had dribbling after urination
User :   a few drops or a small shot of urine after urination especially if I go to sit after urinating
Doctor :  
ok
User :   M/25
User :   sorry 26 now
Doctor :   i will help u in this
User :   I was checked for diabetes A1C
User :   came back negative
Doctor :  
can i ask few questions
Doctor :  
ok
User :   so I also had urine and urine culture done
User :   yes please do
Doctor :  
wat was the urine culture and urine routine reports
User :   all came back negative for infection
Doctor :  
how many times do you pass urine per day
User :   it varies, I used to about 3-4 times a day
Doctor :  
ok
User :   now it's a minimum of 5-6 but can be 10 or more times
Doctor :  
do you have any burning sensation while passing urine
User :   yes, but I think I have more before and after urination
Doctor :  
ok
User :   I think the urge to urinate stems from the burning sensation and spasm from it and not bladder pressure
Doctor :  
do yu have any pain while passing urine
User :   starting urination there is a little burning but I think I have been training myself to just tolerate it since it has been occuring for some time now
Doctor :  
any blood while passing urine
User :   after urinating I feel a little bit of soreness that makes me feel like I still have to go more
User :   but it subsides after a few minutes
User :   but
User :   I also want to note that I applied a little bit of pressure with my fingers while urinating yesterday
User :   and felt the pain increase significantly
User :   to a relatively locallized area
Doctor :   is there any urgency to pass urine
User :   yes, I feel urges that I never used to before, but I have trained myself to control them a little better
User :   but these urges should not occur because they never used to for me
Doctor :  
do yu have any back pain while passing urine
User :   if I remain calm I am usually better, no back pain
User :   but I do suffer abdominal pain
Doctor :   ok

User :   lower abdominal pain
User :   and have for about the same period as these urinary issues
Doctor :   ok
User :   I have been investigating that as a GI issues
Doctor :   did yu get the ultrasound of abdomen done
User :   no, I want this done, but my doctors keep dismissing my complaints
Doctor :   ok'
User :   oh
User :   sometimes the burning in my abdomen gets sorer after urination
User :   and it often subsides after a bowel movement
Doctor :  
do yu have any gas pains
User :   I beleive so yes and often have trouble passing the gas
User :   I had a sigmoidoscopy that came back mostly normal
User :   that was one of the few tests they did do
Doctor :  
i will guide you in this
User :   I have a fissure and external hemmorhoids found but no colon issues found
User :   undergoing ointment, shot and surgery for the fissure and hemorhoid
User :   later this week
Doctor :   ok

User :   not severe cases though
User :   at least the dr's did not think so
Doctor :   are you any medications or tablets

User :   nitroglycerin ointment for the fissure and weekly allergy shots
User :   other than that, no medications
User :   occasionally a multivitamin
Doctor :  
ok
Doctor :  
ok
Doctor :  
as per your history
Doctor :  
Urinary tract infection is ruled out
Doctor :  
and there is no chances of stone in the kidney also
User :   how do you know no stone?
Doctor :   i will explain this to you
Doctor :  
stone will have severe pain while passing urine
Doctor :  
kidney stones will have blood in the urine
Doctor :  
more back ache radiating to thighs
Doctor :  
associated with vomiting
User :   ok, understood, please continue
Doctor :   as your sugar levels and glycosylated hemoglobin is also normal
Doctor :  
the chances of diabetes mellitus is also ruled out
User :   yes, have had lots of blood tests as well
User :   albumin was only out of normal value
Doctor :   ok
Doctor :  
as per your history the problem lies in more in the gastrointestinal level
User :   but what about the urethral pain?
Doctor :   urethral pain some time can present with out infection
Doctor :  
in some cases, as you mentioned only those symptoms will be there
Doctor :  
but the reports will be normal only
Doctor :  
these types of urethral pain
Doctor :  
we call it as idiopathic urethral pain
Doctor :   is that fine
User :   Can it be treated to reduce the soreness and urinary urges?
Doctor :  
yes i will give you few medical tips to over come it
Doctor :  
first and the fore most
Doctor :  
be relaxed not to worry
Doctor :   your problems can be solved with these medications and medical tips
Doctor :  
1. Use Citralka syrup
Doctor :  
use 15 ml of syrup in 150 ml of water and have it 2 times a day for 10 days
Doctor :  
2. Use Cran berry juice, this is good as it keeps the urethral region healthy and hygeine
Doctor :  
3. avoid water consumption in nite
Doctor :  
these measures will help you to over come the urethral problems
Doctor :  
Hi are you there ?
User :   yes
User :   I am listening
User :   2 and 3 I have tried
User :   and did not notice improvement
Doctor :  
ok
User :   but 1 I have not yet
Doctor :  
but use Citralka syrup will help u a lot
User :   Do you know if Citralka syrup is availible in the US (or an equivalent)? Also how this helps?
Doctor :  
in reducing the urethral problem
Doctor :  
yes its available
User :   hmm I will have to search online to see if I can order it
User :   do you suspect there is any tear or scarring in the urethra or some kind of iritation?
Doctor :  
yes its over the counter drug only
User :   ok, good
Doctor :  
have done any ultrasound scanning
User :   none has been done yet
Doctor :  
ok
Doctor :  
i will also advice you to go for a ultrasound scanning
User :   of my lower abdomen?
Doctor :  
this will give us the clue to the diagnosis of your condition
Doctor :  
yes its abdomen and pelvis, mainly kidney
Doctor :  
ureters and bladder region
Doctor :  
have you checked the blood urea and creatinine levels
User :   let me check
User :   I have my tests right here
Doctor :   yes
Doctor :  
ok
Doctor :  
please read the reports
User :   Creatine 0.85 mg/dL
Doctor :  
ok its normal
User :   Urea Nitrogen 13 mg/dL
Doctor :  
even these level are normal
User :   yes
Doctor :   so that there is no tear in the urethra
Doctor :  
but there can be a old scarring
Doctor :  
this can be identified by scanning of the abdomen
Doctor :  
is that fine
User :   hmmm, but the abdomen is only one point of burning
User :   the rest is towards the tip of the penile region
Doctor :   abdominal scanning will guide us more

User :   could there be scarring in there?
Doctor :   you try with these treatment most of the symptoms will subside
Doctor :  
not nothing to worry nothing is serious
User :   does the syrup help heal scarring if that is the case?
Doctor :   yes that is one of the important function of the syrup
Doctor :  
healing process
User :   any concerns since this has gone on for over a year or so?
User :   still effective treatment?
Doctor :  
it also helps in keeping the urethral pipe in hygienic condition
Doctor :   even cystoscopy will also guide to find the scar details and treatment can be done during the cystoscopy only
User :   wow, do you think I need to see a urologist for cystoscopy or is it premature to go that far?
Doctor :   1. Citralka syrup
Doctor :  
2. ultrasound abdomen and pelvis
Doctor :  
3. Cystoscopy
Doctor :   if the ultrasound is abnormal
Doctor :  
even if dont get releif with citralka syrup then you need a cystoscopy by urologist
User :   ok, hopefully I will be lucky
Doctor :  
yes will hope the same
User :   I feel I have too many medical issues suddenly to handle
User :   thank you for your assistance
Doctor :  
so you enjoy the good health
Doctor :  
but be relaxed
User :   thank you
Doctor :  
not to worry, nor stressed or tensed
Doctor :  
you will be alright soon
Doctor :  
Please fill the feed back form
User :   all set, your feedback will be very possitive
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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