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Burning sensation while urination, occult blood in stool, sleep disturbances - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   i am 42
User :   i would like to get some advice on a problem
Doctor :   Please go ahead
User :   i have burning sensation while passing urine in the morning and sometimes during day
User :   for my current condition, i was operated for appendix and gall bladder
User :   appendix at age 15; gall bladder in 2008
Doctor :   ok
User :   reason for gall bladder was stones stuck in the same
Doctor :   Ok
User :   Firstly, they had to do a procedure ECP to discharge the stones and then surgery
User :   the other symptom is dark stools
Doctor :   ok
User :   last year have got the stool test done for blood some technical name i cant remember
Doctor :   Stool for occult blood
User :   regarding burning urination, i have consulted a general physician
User :   yes right occult blood
Doctor :   Was it positive?
User :   he had given some medicine nafrax i guess
User :   test was negative
Doctor :   Ok
Doctor :   What is your current symptom, only burning urination?
User :   the burning is more if i take oily or fatty food
User :   in the night generally, i dont feel comfortable sleep
User :   in the sense, bad or scary dreams
User :   sex life is infrequent
Doctor :   Is this only during urination?
Doctor :   Do you have pain during sexual intercourse?
User :   no
Doctor :   Do you have irritation feeling also?
User :   i feel there is itching at the tip of the organ
Doctor :   Do you have dull pain near the anus?
User :   no pain near the anus
Doctor :   How long did you use the medicine given by doctor?
User :   maybe for 7 - 8 days. this induced vomiting sensation and hence i stopped it
Doctor :   Ok so did not use thecomplete course of it
User :   yes did not
Doctor :   How many days did the doctor prescribe?
Doctor :   What is the preliminary diagnosis done?
User :   he asked for 14 days
Doctor :   Did you review after 7 days
User :   no
Doctor :   with the doctor for change of medcines
User :   no
Doctor :   Ok since you hve not used to the complete course there is no complete remission acheieved
User :   in the past, when i have taken antibiotics, this problem had subsided for a while and again relapsed
Doctor :   You should go back and start on different class of antibiotic
Doctor :   If the infection / or problem is recurrent, I think your doctor should think about other diagnosis
Doctor :   like Prostatitis
Doctor :   Please ask the doctor to do Prostatic massage secretions and send for the Culture
User :   ok i shall check this
User :   meanwhile, there is some secretion or urinary discharge even after urination. is this the cause of the problem?
User :   urine and blood tests are normal
Doctor :   Ok next time, take those secretions in a clean bottle that you can take from lab, put those secretions in the bottle, airtight and give it for culture and sensitivity
Doctor :   It is better to conduct both the Urine culture and Prostate secretions
Doctor :   never stop the medicines abruptly
Doctor :   Ask your doctor about them
Doctor :   as the germs can get resistant to the antibiotic
Doctor :   and will not be useful in future
Doctor :   It is difficult to treat for a doctor if you do not inform him abotu abrupt stoppage
User :   ok will take care on this
User :   what do suggest on dark spots in the stools
User :   there is anal itching sometimes as well
Doctor :   You can see a General Surgeon instead of physician
Doctor :   A rectal examination is also useful
User :   ok
Doctor :   Did you follow?
User :   what is reason for bad dreams?
User :   i wake up from the dream, and the fingers are numb sometime, i feel stiffness in the neck and so on
Doctor :   These symptoms are non specific cannot be related to any condition without the aid of physical examination
User :   the strange thing is that, when i have water before going to bed or drink water after waking up in the mid night, i cannot sleep further
User :   there is irritation and more bad dreams to follow
User :   hence, i avoid drinking water once i go to bed even if i feel thirsty in the mid night or wakeup
User :   i constantly take a few antacids like moza mps, lanz 30 etc
Doctor :   ok
Doctor :   The medicines that you as antacids are not warranted without a prescription as they have quite a few sid effects
Doctor :   and those can comeup like what you have now
Doctor :   You are abusing medicines without the knowledge of your doctor
User :   i have asked my doctor and he said it is ok
User :   do u have some good dr. names in blore where i can visit
User :   i go to sagar apollo normally
Doctor :   Ok we can check and get back to you. One of our customer care executives can assist you
User :   fine. thnx
User :   ok. sure
Doctor :   Thanks for consulting
Doctor :   Bye for now
User :   bye
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