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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For UTI

sir, i am 30 yrs male. i have UTI since last month that is detailed below. HOPI; i developed DYSURIA with pain in urethra 1 month ago that was abrupt in onset, continuous. After 14 days of dusuria i developed BILATERAL TESTICULAR PAIN, BILATERAL EPIDIDYMIS PAIN more on right side, mild to moderate in nature, continuous, not relived by pain killers. there is also bilateral inguinal areas pain, suprapubic heaviness and mild lowback pain. I have no sexual contact hx now. PAST HX; dysuria and testicular pain for 2 wks--------- 2yrs back but that time i had sexual contact and PROSTATIC SECRETIONS for Gram Stain showed Diplococci. I took Ceftriaxone 1gm IV for 5 days and Doxycycline 100mg for 10 days and i got improved. INVESTIGATIONS; presently all my inv r clear e.g. urine analysis and culture, semen for gram stain and culture, prostate secretions for culture r all negative. DRUGS; 15 days back i took Ceftriaxone 2gm IV stat and Azithromycin 1gm oral stat but not improved. then my Urologist prescribed me Tab Doxycycline 100mg BD, Tab Enoxacin 400mg BD, Brufen for pain. I am taking these drugs since last 12 days and has improved 40% but i am not feeling completely well. I am severely depressed as my diagnosis is not clear yet. wether it is reactivation of previous infection, or it is chronic prostatitis or epididymitis. plz guide me and tell me a dx and management plan. thanking you
Mon, 24 Nov 2014
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General & Family Physician 's  Response
Hi,
As first you have to complete your antibiotic course according to your doctor;s advice as it is important to eradicate the infection fully.In my opinion get Ultrasound abdomen and Xray KUB done, to rule out urinary retention (as cause of recurrent infection) and stone in kidney,ureter or bladder system,then you can further discuss with your doctor.
Regards ,
Dr.Maheshwari
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Suggest Treatment For UTI

Hi, As first you have to complete your antibiotic course according to your doctor;s advice as it is important to eradicate the infection fully.In my opinion get Ultrasound abdomen and Xray KUB done, to rule out urinary retention (as cause of recurrent infection) and stone in kidney,ureter or bladder system,then you can further discuss with your doctor. Regards , Dr.Maheshwari