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Diabetes, irritation while urination. Taking Zoryl. Is it UTI? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Good evening
Doctor:Please proceed with your query
User:I had gone for a medical check up in Aug I have been diagnosed with daibetes since last 2-3 years 133 fasting
Doctor:Sorry to hear that
User:last july hb1ac had gone to Level 7 that was the time i was going under stress due to surgery of my 2 year old daughter
User:normally with tablet i e zoryl m1 forte iam sugar is under control
Doctor:Please proceed
User:I was also diagnosed with stone in 2009 got admitted but it came out naturally with medicine when i was at hospital
User:I feel irritation at time after urinating
User:from 3 -4 months
Doctor:Have you got a urine routine test done now?
User:just wondering what should i do
Doctor:What is your recent FBS and PPBS values?
Doctor:It is possible that it is a urinary tract infection
User:yeah got a detail test done let me pull up the report
Doctor:Can you mail it to me?
Doctor:It would be much easier to interpret it
User:give me time i will mail you what is you mail id
Doctor:Please mail it to YYYY@YYYY
Doctor:We can discuss again then
Doctor:Are you comfortable with this?
Doctor:Are you there?
Doctor:It seems like you are not responding
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Doctor:Bye for now
Doctor:Are you back?
Doctor:Do you have more queries?
User:yes just had to atend a call
User:I will mail the report i have a copy ryt now
User:do you wnat to know anything in particular
User:the report had high micro albumin @ 94
Doctor:Is it urine micro albumin?
User:urine micro albumin Random
User:was on medication for 2 weeks and was ok then
Doctor:Did you retest?
User:suggest i will get the same done again
Doctor:Microalbumin is very non specific
Doctor:test and it would not give an exact possibility
Doctor:I have not received any attachments
Doctor:Are you sending it now?
User:doctor then said that this could be because of high sugar as i had not taken medicine for 2 weeks
User:jst mailing the report in 2 minutes
Doctor:It needs 24 hour urine report
User:I see
Doctor:That is the best measure
Doctor:I suggest you to get 24 hour urine albumin
User:ok will get the same done and revert
User:i will mail the exsisting report as well
Doctor:Get Serum creatinine done
Doctor:as well
Doctor:So I think I wish you to take few important points
Doctor:1) Do not miss a single dose of medicine
User:serum creatinine was .7
Doctor:2) Take at regular time and relate to meal and not to miss by hour
User:yup just had bad july
Doctor:HbA1C to target below 6 is the rule
User:report mailed
Doctor:It takes regular diet on time and quantity specified by dietitian
Doctor:adherence to medication
User:hv u recd the report
Doctor:So now your main problem is irritation at the end of the urination
Doctor:Is it?
User:yeah but the frequency is 3-4 times in fortnight that too v little
User:may be 4 time a month
Doctor:That is because of the stone
Doctor:generally but are you sure that the entire stone came out
Doctor:The irritation at the end of urination is because of stone or infection.
Doctor:Since there was a history of stone in the past, it is better to recheck again
User:yes infact got another MRI done after 15 day
Doctor:If this is not bothersome like only 4 times a month then you should ignore it
Doctor:We should check for infection as well, with urine for pus cells
Doctor:So in summary get these things done
User:pls c the report if possible
Doctor:1) 24 hour urine for protein
Doctor:2) Urinalysis
Doctor:3) Serum creatinine
Doctor:Did you send it to YYYY@YYYY
Doctor:I have not received it yet
User:yes let me chk again
User:it was sent at 5.47 any other ID
Doctor:I waited for 5 mintues and yet there is no email
Doctor:Are you there?
User:resend it to the id
User:hv u recd it
User:it has been sent at 6.07
Doctor:Can you type the values here
User:Bld urine 19
User:serum creatinine 0.7
User:uric acid 6
User:pus cells 0-2
User:epithelial 0-2
User:RBC crystals
Doctor:This is perfectly fine
Doctor:You should not worry
User:casts bacteria all not seen
Doctor:Please follow the points as I said earlier
Doctor:get those tests done
Doctor:and nothing else
User:ok but while urinating pressure is not the way it was earlier
User:I hope to c u soon with report
Doctor:all the best
User:appreciate your time and help
Doctor:We need to get the Ultrasound also after the urine report
Doctor:Good evening
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