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Cure for severe pain during urination - 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 : 2008
Answered : 3632 Questions
User :   hi
Doctor :   Hi
User :   I have problem with my urinary system. When i try to urinate , i feel knife like pain at the start only ( intensity of pain varies - sometimes less sometimes more). i have been facing this since i was 6-7. I had shown this to doctors but no use. I was operated once when i was 14 ( Phimosis - wrong dignosis ). Still this did not help me. Then recently i shown this to famous urologist ( had been thru Xrays - no kidney Stone ). Urologist suggested me TERAPRESS - 5mg , URIMAX which also did not help. Please suggest me what should i do ?
Doctor :   Dr xxxxx here
Doctor :   GIve me a moment, let me read thge query
Doctor :   *the
User :   ok
Doctor :   Your age plaes
User :   20
User :   i never had sexual intercourse...
Doctor :   Ok
User :   may be genetic probelm.
Doctor :   Still do u have pain
User :   yes.
User :   at the start when i urinate
User :   sometimes..very less pain..sometime..i can feel it
User :   its not unbearable..but i can feel it at the tip.
Doctor :   Did you get circumsition done
User :   sory ?
User :   sory sir..did not get it
Doctor :   Was the foreskin removed
User :   yes
User :   at the time of Phimosis.
Doctor :   yes
User :   still it did not help,
Doctor :   Then probably you having an infection
User :   can this be Genetic ?
Doctor :   no
Doctor :   Phimosis will interfere with sexual life
Doctor :   but when concerned to burning micturation after circumsition probably its an infection
User :   but ..i can feel this pain since i was 5-6
User :   its Knife like pain.
Doctor :   Are continuing the medication
User :   i have stopped it.
User :   as it did not help me.
User :   are these medicines for UTI ? TERAPRESS and URIMAX ?
Doctor :   If the dose is incresed it will definitely help you
User :   but what if..this is GENETIC probelm
User :   my dad even had some Urine problem ....
User :   5mg is not MAX dose ?
Doctor :   These drugs will relax your urethra and facilitate easy urination
User :   ohok
Doctor :   yes
User :   i had taken 5 mg
User :   still it deint help.
User :   what do you suggest sir ?
Doctor :   You have till 10 mg
User :   any other medicine or you want me to stick with TERAPRESS ?
Doctor :   These are fine
User :   so you want me to continue with Terapress 10mg ?
Doctor :   Just get prescrption for higher dosage sure will help you'
User :   these will require prescription ?
Doctor :   Did u have an antibiotic course
User :   i had taken 5mg...without presciption
User :   20 tablets.
User :   i did not have any antibiotic course
Doctor :   You rather take one course of them
User :   ok
Doctor :   Plz dont have these tablets without doctors advise
User :   sir ..what if this wont stop after 10mg ?
Doctor :   they have got their own side effects
User :   ok..
User :   like ?
Doctor :   PLz get examined by an urologist before incresing your dosage
Doctor :   your condition will require complete physical examination
User :   ok
User :   is my condition different from others ?
Doctor :   See did you inform the urologist about the return of symptoms
User :   yes i did.
User :   he asked me to take URIMAX
Doctor :   You are probably having strictures
User :   that too did not help.
Doctor :   Which may need surgical correction
User :   i was examined..
User :   even i had xray.
Doctor :   Just a minor procedure where the ureter is dialated and has very good results
User :   it was normal.
Doctor :   X ray was to rule out renal stones
User :   ok
User :   what can be side effects for 10mg terapress ?
Doctor :   Hypotension
Doctor :   Incontinence
User :   i am now scared to go to doctors
Doctor :   You should never be
User :   :(
User :   incontinence means ?
Doctor :   Unable to control urination
User :   ok
Doctor :   Plz do visit your urologist in person
User :   you were talking about strictures..
User :   are there genetic ?
Doctor :   And explain detail of symptom reverting back
User :   yes..i will go
Doctor :   Yes sometimes
User :   ok
User :   so TERAPRESS will not help for strictures ?
Doctor :   To an extent, as you complain of pain i suggested you an increase in dosage. again after consuling the doctor
Doctor :   with the prescription
User :   ok
User : my problem very serious ?
Doctor :   No not at all
User :   ok
User :   what else you suggest ?
User :   shall i also try homeopathy ?
User :   which will not have any side effects ?
Doctor :   No, I will not advise
Doctor :   All you need is dialation which is better acheiced by surgicsal method
User :   my health is weak.
User :   i am just 56kgs.
User :   5feet 8 inches
User :   is this because of this probelm ?
Doctor :   No
Doctor :   you are a little underweight
Doctor :   For your height the ideal weight is 65
User :   urine problems can be issue for underweigth ?
Doctor :   no
Doctor :   Eating habits, lifestyle
User :   can i take protein powder ?
Doctor :   Yes ofcourse
User :   i had heard...if you have kidney shud not have it
Doctor :   Make your eating habits regular and healthy
Doctor :   You dont have problem with your kidneys
Doctor :   As said x rays were normal
User :   ok
User :   yes
User :   in the morning if i dont eat anything
User :   i feel very weak.
User :   i feel like i have lost weigth
User :   if sometime..i dont eat anything emmidiately effects me
Doctor :   Thats obvious, morning is the time for Break "fast"
Doctor :   since your time gap from dinner is very much
Doctor :   so never skip breakfast
User :   but other people can manage
User :   i feel like i have almost lost some weigth
Doctor :   Plz be concerned of your health
Doctor :   Dont compare others
User :   ok
User :   you suggest yoga ?
Doctor :   When you dont develop regulareating habits your bmr will reduce drastically
Doctor :   Yes
Doctor :   For healthy living
User :   ok
User :   thanks sir
User :   last que
Doctor :   But inspite you should have healthy and regular food habits then you have nice results
Doctor :   proceed
User :   any better medicine than TERAPRESS
Doctor :   Its just the brand name that will change
Doctor :   the drug for your condition will remain same
Doctor :   plz continue the same medicines after consulting the doctor
User :   ok
User :   is time up ?
Doctor :   Its Terazoin
User :   is it better ?
Doctor :   You will have a timer on the chat window for lasrt three minutes
User :   ok
Doctor :   Its the same terapress
Doctor :   I named the chemical
User :   whats the diff ?
User :   ok
Doctor :   Sorry its terazoin is the medicine
Doctor :   Terapress is other brand name
User :   so this is diff from terapress and more effective ?
Doctor :   Just for your psychological support
Doctor :   As you prefer a change in medicine
Doctor :   this might help
User :   ok
User :   so my problem is UTI ..ryt
Doctor :   UTI or Stricture
User :   ok
Doctor :   Thats why i advised you for a physical examination
User :   ok
Doctor :   were you checked for prostrate antigen
User :   There is no seperate medicine for i understand TERPRESS is for UTI ?
Doctor :   PSA
Doctor :   Not only for UTI, also given for painfull urinations
User :   last time doctor also inserted some glass like niddle
User :   from tip.
User :   there was no pain.
Doctor :   He was actually trying to dialate the urethra
Doctor :   After application of ajelly of some kind
User :   i am not sure about prostrate antigen.
Doctor :   * a jelly
Doctor :   That will rulke out prostrate abnormalities
Doctor :   * rule
User :   ok
User :   ok
User :   i dont feel any pain sometimes
Doctor :   Ok
User :   but i do feel it many times.
User :   why is it so ?
Doctor :   Some times the urine might be alkaline
Doctor :   when its painless
Doctor :   When you strain whike urinating the apin will increase
Doctor :   * pain
Doctor :   Is there any thing else i can help you with?
Doctor :   Thanks for consulting me
Doctor :   Bye for now

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