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Increased urges to urinate - 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 : 2008
Answered : 3511 Questions
Doctor :   hi
User :   hi
Doctor :  
how can i help you
User :   I have come down with numerous health issues over the past 2 years that I am seeing specialists for and such, but one embarrising issue I have only mentioned but not discussed in depth with any of my doctors
User :   I have experienced significantly increased urges to urinate over the past 2 years
Doctor :   k
Doctor :  
ok
User :   I had them run the A1C for diabetes which I will know the results of tommorow
Doctor :  
age,
User :   26 / M
Doctor :  
ok,not to worry, we can discuss when the report comes
User :   I have also been experiencing urethra burning on and off for the past year or so, but stronger this week
Doctor :  
but it is rare at this age
Doctor :  
ok
User :   and lately (past month or so) have had dribbling after urination
Doctor :  
increased frequency could be uti
User :   and try hard to shake and milk away any drops
User :   but dribble after, especially when I change possitions
User :   I did a home test for UTI a few months ago
User :   azo strips
Doctor :  
ok, is it a discharge
User :   and it came back negative
Doctor :  
ok
User :   discharge yes, but I think it is just urine
User :   not sure
User :   maybe it's not urine
Doctor :  
ok
Doctor :  
marital status
User :   single
User :   I have not had sex in over a year
Doctor :  
ok
User :   and it was protected
User :   never had unprotected sex in my life
Doctor :  
are you sexually active
User :   not currently
User :   no
Doctor :  
ok
Doctor :  
go for the discharge culture
Doctor :  
so ,any swellinf near lower abdomen
User :   you mean a urine culture?
Doctor :  
you need a course of antibiotic
User :   I have lower abdominal pain
User :   for the same 2 years that I have had urinary increase
User :   had a sigmoidoscopy done for this and it came back negative
Doctor :  
this anlyses the bacteria present in the discharge
User :   because the abdominal pain subsides after bowel movements
Doctor :  
any family h/o of polyps, diverticulosis
Doctor :  
any lesion on the genitilia
User :   yes my mom's side of the family at least 3 of them have diverticulosis
User :   and diverticulitis
User :   some have had resection
User :   I was concerned but this was not found on my sigmoidoscopy
User :   no lesion on the genitilia
User :   large penil dorsal vein but it is not painful
Doctor :  
yes , you can go for the investigation like sigmodoscopy and scan
User :   (not the vein itself)
Doctor :  
ok
User :   sigmoidoscopy was already done
Doctor :  
any findings
User :   and when I went back to the GI to ask if it could be an ulcer
User :   no findings other than external hemmorhoids
Doctor :  
small stones in the kidney
User :   he said I was too young to have an ulcer
Doctor :  
ok
User :   and did not offer to do any more tests
User :   he said take laxitives before bed and coffee in the morning
Doctor :  
various modality of treatment
User :   not sure that was good advice though
Doctor :  
depends on the stage
Doctor :  
ok
Doctor :  
sitz bath
User :   I do a sitz bath 1-2 times a day
Doctor :  
some herbal medicine also helpful
User :   because I had a fissure which has now finally healing
User :   also using nitro glycerin ointment
Doctor :  
lots of vegitables, fruits
User :   which has deffinately helped
Doctor :  
avoid hard food
User :   yes lots of fibre fruits and vegitables
Doctor :  
ok
User :   but I have cut back on fibre in the past 2 days
User :   because it was creating too much stool at night
User :   feeling a little bettr
Doctor :  
you can go for cryothearpy
Doctor :  
or surgery
User :   I am going to have surgery
User :   for the hemmorhoid(s) in a few weeks
Doctor :  
fine
Doctor :  
then it will be ok
User :   because one became thrombosed
User :   I will have the vein removed
User :   in the office
User :   hopefully the pain will be no more than when I had a fissure
User :   and hopefully heal faster than the fissure
Doctor :  
that is the indication
User :   very nervous
User :   but I feel I need to get this done
Doctor :  
dont worry its a minor one
Doctor :  
its better for permanent solution
Doctor :  
you wil be ok by 2 weeks
User :   I have read stories online about people being in severe pain for days or weeks, but hopefully that is not the case for me
User :   I will try to avoid narcotics because I don't want constipation with this
Doctor :   no, that they have a last stage and complicated piles

User :   he will give a local shot
Doctor :   yours is a simple and in intial stages
User :   even if it was thrombosed?
Doctor :  
when is the surgery
User :   2-3 weeks
User :   I need to reschedule it
User :   1st week in sept
Doctor :  
yes , if one is trombosed not a issue
User :   no longer thrombosed, but I want 100% cure
Doctor :  
go as early as possible for surgery
Doctor :  
yes , you will get rid of it
User :   sept is the earliest I can
Doctor :  
ok, fine
User :   luckily it has gotten a little better and shrunk with hydrocortizone
User :   but I am worried others are forming
Doctor :  
ok
User :   not as bad though
Doctor :  
dont worry it takes long time toform
Doctor :  
sept is fine
User :   is there any electrical / RF procedures that can be done to shrink more minor external hemmorhoids?
User :   maybe prevent any more big ones
Doctor :  
yes , some places they try cryo
User :   ok
Doctor :  
you can discuss with you surgen
User :   alright I want to jump back quickly to the urinary issues before I leave
Doctor :  
along with surgery it can be done
User :   with my symptoms or urethral burning, and dribbling after urination, and frequency
Doctor :  
ok, plz fill th efeed back form
User :   I need just a urine culture?
User :   (feedback form is done)
Doctor :  
yes , definitly
User :   so even after this lasting 1 - 2 years it can be an infection?
Doctor :   it will detect the organism and antibiotic sensitivity
Doctor :  
yes , some times on and off
Doctor :  
or fungal infection
Doctor :  
protozoal is a chornic one
Doctor :  
so go for the culture
User :   I have taken strong antibiotics a couple times in the last 2 years but it did not improve my symptoms. I took Augmentin and Avelox
Doctor :  
do you have neuro prob
User :   for sinus infection
Doctor :  
ok
User :   would these help urinary infections or the wrong antibiotic?
Doctor :  
so if protozoal itreatment is different
User :   neurological problems? not that I know of but am very stressed and a bit depressed lately due to all the health issues (situational), other than that I am okay
Doctor :   ok, you can get neurological bladder
User :   is this the same as phycological?
Doctor :  
no,, its neurological
User :   how does one test for or treat this?
Doctor :  
cns or neural
User :   central nervous system got it
Doctor :  
it is always asociated with neuro prob
Doctor :  
like stroke. paralysis, facial palsiy
User :   no have none of that
User :   well...
Doctor :  
and tremmoers
User :   hmm
User :   sometimes I shake in my sleep
Doctor :  
tics, athetosis
User :   like I jolt and don't know what happened
User :   like semi contious
Doctor :  
ok, get one neuro opnion
Doctor :  
ok, any vision prob
User :   poor 3D vision
Doctor :  
weakness in the limbs
Doctor :  
ok, all these contribute to neuro
User :   monocular vision and switching eyes (surgery for eye alignment 15+ years ago)
Doctor :  
ok, no probs
User :   sometimes I feel like I can't walk like I can't tell my legs to move
User :   but it is rare
Doctor :  
ok
User :   I'll be walking and I'll just feel very weak
Doctor :  
better go for a neuro evaluation
Doctor :  
but its very rare
Doctor :  
diabetes
User :   it might explain why I have so many health problems at a young age
User :   grandfather and cousin with diabetes
Doctor :  
ok
User :   I will know the test results tommorow for diabetes
Doctor :  
that could also be due tothat
User :   but the burning
User :   is not consistant with diabetes is it?
User :   and the leakage?
Doctor :  
ok, we will discucss after the report comes
Doctor :  
yes , burning is absent
User :   ok, I will ask for the urine culture
Doctor :  
yes
User :   any other tests?
Doctor :  
antibiotic sensitivity
Doctor :  
because lot of antibio have developed reistance
User :   there is a test for this?
Doctor :  
yes, during the culture growth they do this also
User :   oh ok
User :   to see what antibiotics to use
User :   ok
Doctor :  
any other quires
User :   no I think that is it
Doctor :  
ok, take care
User :   thank you very much
Doctor :  
bye
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