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Difficulty in urination, fever, enlarged prostrate. Suffered from respiratory tract infection, taken ampoxin. UTI?

Hello doctor, I am a 56yr old male suffering from difficulty in urination since 10 days, poor stream of urine. Today I got fever with a temp of 100.3F. I had suffered from upper respiratory tract infection 10days back for which I was prescribed tablet ampoxin.
I have this problem of urination with an irritable bladder since many years. Prostate is enlarged and I had undergone operation for the same few years back. Is this UTI? Any association with my upper respiratory tract infection?
Thanking you in advance.
Asked On : Tue, 23 Apr 2013
Answers:  2 Views:  55
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General & Family Physician 's  Response
You are 55/M. You had problem in urination with an irritable bladder several yrs back and found the prostate enlargement is the cause for your problem. You have undergone operation for the same.
Now you have fever 1 day duration with difficulty in urination with a poor stream of flow 10 days duration, prior to this you had upper respiratory tract infection for which antibiotic Ampoxin was prescribed and you got alright of your respiratory infection.
Before coming to a conclusion certain details are needed. How was your prostate removed, is it cystoscopic removal of prostate, if so what was the biopsy report.
Taking for granted the biopsy report was benign growth (as it was removed long back and you were symptoms free till 10 days prior today, we must find out what are all the possible causes of poor stream of urine and difficulty in urination.
Your upper RTI is totally excluded.
Remaining are 2 possible causes are:
!) recurrent growth of prostate - even though benign - because prostate is not removed in total through cystoscopic removal - most possible cause.
2) Stricture of uerthra - severity may differ
Investigations like
1) Complete urine analysis including culture and sensitivity
2) USG of abdomen
3) Micturiting cyso urethrogram
4) A complete rectal examination
by this we can easily arrive at a diagnosis and by treating the prevailing condition will make you totally alright
Best wishes

Answered: Tue, 23 Apr 2013
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General & Family Physician Dr. J Kingson John David's  Response
Hi Snehal,
Thanks for Using HCM,
I hope your problem is mainly focussed on Difficulty in urination , Its mainly due to Urinary Tract Infection . I advice a Urine Examination for pus and Culture Sensitivity .
There is chance of drug resistance hence culture result is beneficial .

Already did Prostate Surgery so Dont be panic
Syp.Alkacim 10ml tds will reduce burning micturition.
Answered: Tue, 23 Apr 2013
I find this answer helpful
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