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Suffering from Sleep apnea and Urinary tract infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3390 Questions
User :   hi
Doctor :   Hi
Doctor :   How can I help you?
User :   This is embarassing but I have a problem with my penis
User :   I am urinating too much these days
User :   and I get a burning sensation before I am about to pee
Doctor :   May I know your age and gender?
Doctor :   Since when are you having these symptoms?
User :   I am 28 male
Doctor :   Are you there?
Doctor :   since when are you having these symptoms?
User :   yes
User :   since the last 15-20 days now
User :   additionally I am getting transparent/white urine
User :   instead of the normal color
Doctor :   Are you sexually active?
User :   I am a little obese and I do have a reflux problem and I get a feeling the reflux is related here
User :   no I am not sexually active
Doctor :   Do you have history of fever, abdominal pain?
Doctor :   Do you have history of similar symptoms in the past?
Doctor :   Do you have history of diabetes, kidney problems in the past?
User :   I used to have fever before masterbating long time ago
User :   I dont have diabetes. No kidney problems I know of
Doctor :   Ok
User :   abdominal pain I am getting these days sometimes
Doctor :   Do you have any other associated symptoms such as blood in the urine, swelling of the legs, facial swelling?
Doctor :   Do you have family history of diabetes?
User :   have noticed once or twice I get burning sensation when I pass motions and urinate in morning if I say have spicy food the night before
User :   my mom has diabetes
Doctor :   Ok
User :   no blood in urine, swelling of legs or facial swelling
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   From your description, I can think of 2 possible causes
Doctor :   1. A urinary tract infection
User :   but abdominal pain is like a burning sensation and I suspect its acidity/reflux
Doctor :   2. Abnormal blood sugar - diabetes/prediabetic state.
User :   ok what is the other cause
User :   ok
Doctor :   These 2 possible causes can only be differentiated based on tests.
Doctor :   I suggest you the following measures
User :   ok
Doctor :   1. You need urine analysis - a urine routine followed by urine culture test(if urine routine is abnormal)
Doctor :   2. Fasting blood sugar and post prandial blood sugar tests.
Doctor :   3, Drink plenty of water atleast 2 litres of water is a must every day
Doctor :   4. Avoid spicy food.
User :   I am taking plenty of water
User :   I have eosinophilia and am taking Banocide Forte course of 20 days
User :   there is something wrong with chat I typed above before
User :   is eosinophilia related here
Doctor :   5. You can use cranberry juice, one glass at night.
Doctor :   No eosinophilia and your present symptoms are not related.
User :   ok
Doctor :   Further treatment plan will be based on the reports of the test.
Doctor :   Urine test if suggestive of infection is to be treated with antibiotics
Doctor :   and if blood sugars are abnormal, then you need further evaluation, life style modifications.
Doctor :   Hence do get the tests done and follow up with a doctor,
Doctor :   in the mean time you can follow the other measures as suggested.
Doctor :   Have you followed what I have suggested?
User :   yes
User :   are there any OTC drugs available for infection?
Doctor :   Do you have any other query?
Doctor :   If infection is proved then you need antibiotics which are prescription medications.
User :   are there any OTC drugs available for infection?
Doctor :   Adequate water consumptions and cranberry juice are few home remedies to treat the infection.'
Doctor :   No, infections either need oral antibiotics or injectable antibiotics which are prescription medicines only.
Doctor :   Have you followed what I have suggested?
User :   there is another query actually
User :   I dont know if it is related or not
Doctor :   Proceed.
Doctor :   Proceed with your query.
User :   firstly that cranberry juice is after dinner?
Doctor :   The syrup can be used thrice a day too,
User :   at night?
Doctor :   if not feasible you can use them at night before you sleep.
User :   ok
User :   I have been diagnosed with OSA
Doctor :   Ok
User :   obstructive sleep apnea
Doctor :   Ok
User :   and certain depression symptoms
User :   I wanted to know what is the prognosis in such cases
Doctor :   Obstructive sleep apnea can be managed by means of proper weight control, ENT corrections if any.
Doctor :   Most often symptoms reduce with these treatment.
Doctor :   However few need breathing assistance almost every day.
User :   I get burning sensation in throat, I have ringing in ears, problems gulping down food sometimes, gasps of breath
Doctor :   So depending on the severity of the obstructive sleep apnea, the need for breathing assitance, the prognosis varies.
Doctor :   Depression however is a chronic problem and can be a grave concern.
Doctor :   However a positive approach, proper therapy and medications, one can limit the progress of the condition and an improved quality of life can be given.
User :   ok
Doctor :   Hence all is not lost yet.
Doctor :   Discuss with your treating doctors, who will be able to assist you further with regards to these issues.
Doctor :   Have you followed what I have suggested?
User :   yes Sir
Doctor :   Do you have any other query?
User :   well in general I am not able to discuss some of the symptoms with my doctorsa
Doctor :   I can understand that,
User :   what is the approach I should adopt here I mean I try making notes but sometimes its difficult to discuss it out
Doctor :   It is better to approach the condition/symptoms one by one then every thing at a time.
Doctor :   Consider solving your recent problem, as they are likely to improve faster.
Doctor :   Once you find a solution to one problem, that will help you in giving the much needed confidence in going about with the second problem.
Doctor :   Since obstructive sleep apnea is can also be treated, if I were to be your doctor,
Doctor :   I will address this issue first.
User :   I am already working on weight loss and considering purchasing a CPAP
Doctor :   I think that will be the best way in going with the treatment.
Doctor :   A good and peaceful sleep will go in a long way in treating depression.
Doctor :   So remain positive.
Doctor :   You should be able to find solutions to your problem.
Doctor :   Have you followed?
User :   yes Sir
Doctor :   Do you have any other query?
User :   Healthcaremagic has been very supportive many a times :)
User :   thank you again Sir
Doctor :   Thanks for consulting me.
User :   that is all
Doctor :   Bye for now.
User :   bye
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