Suffering From Urine Urgency. Burning Sensation During Urine. Having Pain In The Pubic Area. Took Cipro. Infection?
Thanks for your query.Based on the facts that you have posted it appears that you have urgency of urination.
You have been taking antibiotics Ciprofloxacin as per advise of your family physician which has worked to some extent.
Since you have dine urine analysis and urine culture which has turned out to be negative there is less possibility of infection.
In absence of positive evidence of infection the cause of urgency is most likely to be due to what is called as Over Active Bladder..
This can be confirmed only on clinical examination and Urodynamic study of Bladder.
Please consult qualified Urologist for assessment and get following investigations done to confirm the diagnosis.
1) Ultrasound Scanning Of the abdomen
2) Urodynamic study of the bladder under guidance of Urologist.
Do not worry if positive it can be cured by taking medicines like antimuscaranic( Darifenacin or Solifenacin.).
Hope I have answered your query.
Please feel free to ask if you have any more questions I shall be happy to help you.
Thanks with Regards.
Dr.Patil..
Thanks for follow up.
No there is nothing like false positive or negative results at least in Urine analysis and urine Culture. It will be detected irrespective of the time it was stored in bladder and You can get the same results if you give urine samples at any time .
2) Yes Over Active Bladder is a irritated bladder than contracts even after small amount of urine gets collected in bladder.giving rise to symptoms like Urgency and frequency.
3) The Ciprofloxacin is an antibiotic and taking it with yoghurt will not affect efficacy if there is infection. Normally we advise to take drug after food to avoid gastric discomfort.
Thanks and Regards.
Dr.Patil.
Still worried about infection. I went to a urologist and they did a distick on the urine in the bladder for 4.5 hours. He said he looked under the microscope and said I have overactive bladder. I am still taking cipro and for some reason I am worried that it is infection and the tests are not being done properly or the tests are not picking up. Please advise. The doctor has prescribed the medicine but the insurance has to precertify as it is expensive.
Thanks for writing again.
Your urine analysis done repeatedly did not reveal positive findings suggesting infection . What you think it to be infection is due to your anxiety.
Since your urologist has also diagnosed it as Over Active Bladder then you have to take necessary medications as per his advice rather than taking antibiotics which if taken over period of long time may have some side effects on your body.
Thanks and Regards.
Dr.Patil.