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Chlamydia or proteinuria - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   I have been experiencing pain in the loins of my back which can be felt in my abdomen also. My urine smells slightly odorous, I feel slightly nauseous and tired. I have been treated as if it where a UTI but the urine test came back clear but the GP has recommended that it could be Chlamydia and it is feasible for me to have this. I am a 20 year old male, is this possible?
User :   Hello?
Doctor :   Hi
Doctor :   Dr here
Doctor :   Let me read your query
User :   Thanks
Doctor :   Ok
Doctor :   Are you sexually active?
User :   Not at the moment, but my last partner I had sex with 3 months ago unprotected
Doctor :   ok
Doctor :   As far UTI is concerned there will be burning micturation associated always
Doctor :   And definetly some infective organism will ocme up in urine culture
Doctor :   As in your case neither of them sare present
User :   Right okay, so it isn't a UTI.
Doctor :   So i guess it could be probbaly due to excess heat and stress
Doctor :   And do you workout in gym?
User :   no
Doctor :   The symptoms suggested by you could also be follwing high protein intake
Doctor :   And renal stones too
Doctor :   Was any scan taken
User :   I have just had a kidney blood test and that was normal
Doctor :   Ok
Doctor :   Do you have any palpable mass in the lion ?
User :   no
Doctor :   Then it just due to excessive heat induced reaction
Doctor :   Will settle down on own
Doctor :   All needed is plenty water and rest
User :   I have had this for 3 week now and the pain is getting worse everyday
Doctor :   But rather will suggets you to go for an ultrsound scan abdomen
Doctor :   *suggest
Doctor :   Can specify the pain pathway
User :   What about the Chlamydia?
Doctor :   Like orgin and way of spread so that i can guide you better
Doctor :   If its chlamydia will have burning micturation awith some foul smell and urine also will turn turbid
Doctor :   Do you have any of those?
User :   foul smell yes
Doctor :   It could also occur in proteinuria
Doctor :   What about other signs
User :   nausea, tiredness
Doctor :   ok
Doctor :   Any discharge from penis?
Doctor :   The four important signs are
User :   not that know
Doctor :   1. urine cultur postive for growth
Doctor :   2. burning and painful urination
Doctor :   3. discharge
Doctor :   4. Inflamtion on urethra
Doctor :   These are the diagnostic features
Doctor :   If they are not present then will require complete work up on renal profile
User :   so it isnt?
Doctor :   And an ultrasound at present is most needed for you now
Doctor :   Yes
Doctor :   Did you follow?
Doctor :   Bye for now
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