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Overactive bladder and urine incontinence - Online Doctor Chats

Date : 13-Jan-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
Doctor :   Hi
Doctor :   How can I help you
User :   hi could you please connect me to a urologist?
Doctor :   Please tell me
User :   are you a urologist or is anyone online a urologist with whom i could chat
User :   ok doctor...
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   ok...
User :   i have been having some weird feeling in penis for the past 1 month and have got physically examined and have had done my urinalysis and blood test
User :   and all the results seem to be normal.. but i also have some discomfort and problem of frequent urination
User :   i dont understand why the problem isnt fading away
Doctor :   ok.
Doctor :   Since whenare you having it
User :   the doctor gave me doxycycline even after all the results were normal which i have been having.. i dont think thats helping
User :   all this has been goin on for a month
User :   i am really upset and get myself depressed all the time
Doctor :   did you have any Burning Sensation in the Urine or
User :   kind of at times
Doctor :   Any blood in your Urine
User :   but the doc looked for everythin and said everythin is fine- no blood
User :   there is some weird sensation in the scrotum too
Doctor :   Have you got the culture and Sensitivity of the Urine Sample done
User :   no.. just the plain urinalysis
Doctor :   If you can Explain.that Wierd
User :   i dont know why all this has been happening
User :   the doc found some protein in the urine
Doctor :   ok
User :   and suggested a blood test which i did, and the only prob in the blood test was some high potassium about which he wasnt worried
Doctor :   ok
Doctor :   what is the weird sensation in the scrotum?
User :   he's a MD but not a urologist
User :   some discomfort
Doctor :   is there pain?
User :   kind of
Doctor :   ok.
User :   and i got my scortum examined too and the doc dint think anything was wrong
Doctor :   Could you give me those details and if you have been Sexually active..
User :   no i am not sexually active
Doctor :   Any oral Sex that you have been involved in
User :   about a year back
User :   well is a kiss on the vagina considered oral?
Doctor :   Are you on the obese side or normal built,
User :   normal
Doctor :   Well did she Take your Penis in her Mouth
User :   no
Doctor :   Do you have any Medical illness so far or have taken any Drugs
User :   no
User :   everything was fine until last month doctor
User :   well could this be a sign of prostatitis?
Doctor :   Overactive bladder (OAB) appears to be multifactorial in both etiology and pathophysiology.
User :   i actually ride a bike but its seat is not fixed properly
Doctor :   Can be But then
User :   dunno if that has given all this problem
Doctor :   Your Culture report that you have done Would have picked them up
User :   well i have just done simple urinalysis
User :   2 urinalysis's
Doctor :   What were the Tests performed in that Analysis
User :   well checking for std's and other infections i guess
Doctor :   Was it Urine Routione
User :   well the doc said just get a urine test.. so i did
User :   i dunno what all it involved
User :   it was called urinalysis
Doctor :   the report gave you these results like Casts,Blood and
Doctor :   Pus cells
User :   i personally dint see any results
Doctor :   ok.
User :   but after 1st urinalysis the doc said
User :   that everythin is fine and u have ketones
User :   and then the prob dint resolve so i went again.. and got urinalysis
Doctor :   Have you got your Blood Sugars tested and are the reports with you
User :   and then doc found protein in the 2nd urinalysis so suggested to do the blood test
Doctor :   Since raised Blood sugars are the Cause of Ketones in your Urine..
User :   which i did and he said ur liver and kidney everythin seems 2 be fine
User :   well i actually would not eat much which is why he said u have ketones
User :   and that blood test checked for blood sugar too im pretty sure
Doctor :   Raised Blood Sugars are the cause of High Ketones in Urine
Doctor :   that could also be the cause of this Picture that you are having..
User :   but then wouldnt that be
User :   identified in blood test?
Doctor :   Well that needs to be tested for
Doctor :   And i do not have the tests that have been performed in your case
User :   so i should go and ask them rite
Doctor :   You would have had to give the sample early morning on fasting
User :   if they checked for blood sugar
Doctor :   for tahat
User :   well i did fast....
Doctor :   that and may be 2 hours later too
User :   i didnt have anythin before blood test
Doctor :   ok.
User :   he said if the prob persists
Doctor :   Are you having any Incontinence..
User :   he will refer me to a urologist
Doctor :   Ye
Doctor :   Yes
User :   what do u mean by
User :   incontinence?
Doctor :   Like when ever you have the Urge to go to the Loo are u able to control or does it come out on itself
User :   well i can control
User :   but i go 2 the bathroom
User :   its hard 2 control though, i end up goin 2 the bathroom
Doctor :   Tests that would help me are Postvoid residual test, Urodynamic study,
User :   what r thoise exactly
Doctor :   Urodynamic study is most commonly performed in individuals in whom first-line therapies for OAB fail.
Doctor :   Overactive Bladder (OAB)
User :   i see
User :   could all this be pretty serious?
Doctor :   Postvoid residual is where after you have pased the Urine the remaining amount is calculated
User :   i mean what i am facing- could it be serious
Doctor :   Not to worry about it can be treated easily..
User :   and how abt the tingling feeling
User :   is there any way i can get the tingling feeling out frm my penis
Doctor :   combination of behavioral therapy and pharmacologic therapy are all that are needed
User :   its been really annoying doctor
Doctor :   Yes it could be that you are having Cyctitis andthat is the cause of Tingling sensation
User :   ohh
User :   and the test for that hurts really bad rite?
Doctor :   Please fill the feedback form say done when done while I type the information you needed.
Doctor :   None of those tests would really hurt you
User :   could
User :   doxycycline remove the
User :   tingling sensation?
Doctor :   Nope it would require higher antibiotic and that is why the Culture & sensitivity report of your urine sample is essential
User :   so u mean the simple urinalysis is not enough right?
Doctor :   Nope
User :   ok.. do u think i should refer 2 the urologist as soon as possible?
Doctor :   At the earliest not the General Surgeon
User :   ok...
Doctor :   Is there any thing else that I could help you with?
User :   i will refer to the urologist tomorrow itself
User :   but there is a cure for all that i am facing right?
Doctor :   Sure do and Do let us Know the Proceedings
User :   sounds good, and whats your good name doctor
Doctor :   Certainly there just that you need to find the exact cause
User :   i see...
Doctor :   Dr.
User :   thank you so much dr.
User :   i have
User :   1 suggestion to make
Doctor :   Please tell me
User :   please try and make sure that it does not happen doctor.. i will really appreciate it
User :   i guess my earlier message did not go- i said sometimes
Doctor :   What if you can tell me
User :   when i log into the chat session, no1 responds to my messages and the chat session logs me out
User :   and it is really frustrating- so please try and make sure it does not happen
Doctor :   ok ,
User :   i as a customer really appreciate your services and am glad that you guys are helping us all out
Doctor :   will look into it thanks for your Valuable feed back
User :   no problem.. have a great day
Doctor :   will certainly take it to action
Doctor :   You too
User :   thank you so much dr.
Doctor :   Bye for now
User :   bye
Doctor :   You are welcome
Question is related to
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