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query about urinalysis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
Doctor :   Hi
User :   Hello
User :   I have a question Im really concerned about
Doctor :   How can I help You?
User :   I had unprotected sex approx 2 wks ago
Doctor :   Ok
User :   Im noticing a tingling on the outside of my penis, shaft specifically
Doctor :   Ok
User :   I also notice my back is slightly sore
User :   I've been sick with the fever, flu like sypmtoms... but that is something going around ework right now
Doctor :   Ok
User :   I went to medical and submitted a urine sample for chlam, gon, and general bacterial infections
User :   awaiting result
Doctor :   Did You get the reports?
Doctor :   Ok
User :   Monday morning the labs should be in
Doctor :   Can You tell me about Your partner?
User :   I was stupid, I didn't ask anything til after
User :   but she said shes been tested and clean
Doctor :   Ok is she someone You know?
Doctor :   Ok
User :   not real well
Doctor :   Ok
User :   how long would it take for a viral infection typically to start surfacing?
User :   ive been worrying myself sick
Doctor :   do You have any discharge from the penis or redness or ulcer on the penis or burning when You pass urine?
User :   no but i almost think i have a bladder inf.
Doctor :   Why doo You think so?
User :   i feel like i have to pee but I really dont go much
User :   it almost feels swollen
Doctor :   Ok
Doctor :   May I know your age?
User :   30
User :   ive never had anything before and have been in a monogomous relationship for a while
User :   like i said stupid decision
Doctor :   Ok I would recomend that You hasd a physical examination from a dermatologist and showed him yout reports top rule out any std
Doctor :   Also watch out for any signs of stds
User :   if there are no phyical symptoms like discharge, soars, etc. do you think it is likely to be a bacterial infection?
Doctor :   I think the reports will be able to rule that out
User :   It seems like i only notice the tingling when i actually think about it
User :   Is it possible to manifest sensations by over anxiety
Doctor :   Iit could be psychologicsl but You should go for a physical examination
User :   could something like hiv, herpes be detected this soon?
Doctor :   any history of diabetes in You family?
User :   My uncle and thats it
Doctor :   I think You should rule out any urinary or bladder infections thru tests
User :   would a standard urine test rule those out?
Doctor :   a urine culture would help
User :   given that its affecting my bladder, is it that type of infection or something more serious? There's no pain when I urinate... I feel like I have to go real bad but not much comes out.
Doctor :   Yes Your tests will tell us
User :   Should i be worried about a viral infection at this point such as hiv, hsv-1/2 or warts w/o any visible signs
Doctor :   You could get an elisa to rule out hiv
User :   how about the other ones? are they too soon to test for?
Doctor :   yesa it is a little early
Doctor :   Youl have to wait for 6 weels before You do an elisa test for hiv
User :   how long shoud i wait? and how long would it typically take for a viral infection to start producing symptoms?
Doctor :   viral infections manifest after 2 weeks
Doctor :   if infection is ruled out You can see a urologist to rule out other conditions like stones since You have back ache
Doctor :   we also need to find out the cause of poor stream of urine
Doctor :   do visti You dermatologist with your test reports for a physical examination and rule out herpes and other stds
User :   i find it too coincidental that the condtion is not related to the encounter
Doctor :   Ok it could be psychological too but it is best if You ruled out infections and found out the cause of alteration of flow in urine
User :   o i will for sure. I'm trying to do do as much homework as i can so i can be prepped for whatever comes next.
Doctor :   Ok.Your tests will be able to help see a dermatologist
User :   I will thank you for your time
Doctor :   And watch out for any symptoms
Doctor :   How long have You been having a problem with urination
User :   only the past couple days
Doctor :   Ok
Doctor :   You may send Your reports to doctor @
User :   Not painful or anything, not tinged with blood. Appears a little "cloudy" but ive also been very dehydrated. Ive had the flu since thursday. Almost my whole office has been passing it around.
Doctor :   soulnds like a uti
Doctor :   get aculture report
Doctor :   or an std
Doctor :   do mail us your reports
Doctor :   and visit Your doc for physical examination
Doctor :   wihtout examination and reports it is impossible to aculrately diagnose anything
User :   thats what i thought (UTI) but i couldn't account for the tingling in the shaft of my penis. Its very slight. I did not notice it until after i went and submitted a urine sample this past monday. Ever since I did, i have been hypersensative and worried sick. i will go tomorrow and ask about elisa.
Doctor :   for elis you have to ait for 6 weeks
Doctor :   do Rule out herpe s or any other std by visiting your dermatologist
User :   6 weeks til after the encounter or another 6 weeks from this point?
Doctor :   after encounter
Doctor :   but dont get unneciraly worried
Doctor :   hiv does not manifest in this way
User :   Thats a real prob for me. I have generalized Anxiety Disorder. Diagnosed with over the summer. I have frequently occuring panic attacks complements of the Marine Corps
Doctor :   ok
Doctor :   I would sugges tthat you saw a psychologist for this
Doctor :   are You under any medications?
User :   Thats why i think i am being overly sensative. I'm sure somethings going on. I just want to know what that something is. I do see a shrink.
User :   inderal and abilify
Doctor :   can you ask You r psychiatrist if these drugs have such side eggects?
User :   i sure can
User :   Do you think I'm okay to have protected sex for time being?
Doctor :   this could be the cause of poor stream of urine?
Doctor :   no avoid sex
User :   Ok. For how long?
Doctor :   till infection is ruled out
Doctor :   at least stds
Doctor :   You can clarify this with your dermatologist who physicaly examines you
User :   for an "std test" what is standardly screened for? do i have request anything specific to be tested for aside from the elisa?
Doctor :   Is there anything wlse I can helpyou with?
User :   No I am good. Thank you much for your time.
Doctor :   depending on whether You dermatologist finds any symptoms he shud be able to recomend the tests
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