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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Kidney Stone, Burning Sensation In Urine, UTI Is Repeating. Reason And Cure?

Hi , I have history of having 1mm stone in my right kidney 5 months back and due to that i got UTI . I was given medication to use tablets and Noculi syrup and i took it for 1 month and later i got UTI again after 2 months and at that time the Urine culture showed negative but i was seeing some burning sensation during urine passage . After medication for 1 week , i was ok. Again now , i had the same sensation while passing urine and did my Urine culture and it showed Few gram positive cocci in pairs seen . My urine routine showed PUs cells 2-4 , Epithelial cells 2-4 , PH 5.5 and specific gravity 1.010 , rest of them are negative/Nil. I wanted to know why the UTI is repeating . I assume UTI is very rare in men and i would want suggestion if there are any problem with my kidneys / prostate . Once i pass urine and bend downwards , i see leakage of urine . I doubt if i have any issue wiht my prostate . What are the type of checks that i need to undergo to rule this out ? Pls advice .
Mon, 7 Oct 2013
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query. I appreciate your concerns.

1. Firstly, repeated UTI takes place in the presence of kidney stones.

2. Commonest cause of failed response of antibiotics to UTI is that the culprit bacteria/organism's resistance to prescribed antibiotic.

3. Third cause can be that UTI is due to fungal infection which requires anti-fungal drugs and NOT antibiotics.

The next time you have UT, get your urine tested for fungi also; order for URINE CULTURE: the test will isolate the causative agent and also show the antibiotics to which the bacteria is sensitive to. Consult your doctor who will then prescribe the most sensitive antibiotic which SHOULD BE TAKEN FOR AT LEAST 10 DAYS.

Please repeat your ultrasound to exclude the possibility of a small stone having flowed with urine from the kidney to urinary bladder. Your symptoms are suggestive of infection of urinary bladder and urethra.

Hope I have addressed your query to your satisfaction. If you have any further questions, I will be more than happy to help you.

However, if you do not have any further clarifications, you can close the discussion and rate the answer.

Wish you a speedy recovery and good health.

Fond regards and best wishes,

Dr. (Col) R Karanwal
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Having Kidney Stone, Burning Sensation In Urine, UTI Is Repeating. Reason And Cure?

Hi there, Thanks for your query. I appreciate your concerns. 1. Firstly, repeated UTI takes place in the presence of kidney stones. 2. Commonest cause of failed response of antibiotics to UTI is that the culprit bacteria/organism s resistance to prescribed antibiotic. 3. Third cause can be that UTI is due to fungal infection which requires anti-fungal drugs and NOT antibiotics. The next time you have UT, get your urine tested for fungi also; order for URINE CULTURE: the test will isolate the causative agent and also show the antibiotics to which the bacteria is sensitive to. Consult your doctor who will then prescribe the most sensitive antibiotic which SHOULD BE TAKEN FOR AT LEAST 10 DAYS. Please repeat your ultrasound to exclude the possibility of a small stone having flowed with urine from the kidney to urinary bladder. Your symptoms are suggestive of infection of urinary bladder and urethra. Hope I have addressed your query to your satisfaction. If you have any further questions, I will be more than happy to help you. However, if you do not have any further clarifications, you can close the discussion and rate the answer. Wish you a speedy recovery and good health. Fond regards and best wishes, Dr. (Col) R Karanwal