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Suffering from UTI. Smell in urine, itching sensation and lower abdominal pain. Treatment? - Online Doctor Chats

Date : 08-Sep-2013
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor:How can I help you?
User:I am XXXX.
Doctor:Yes, proceed with your query.
User:I am frequently suffering from UTI .
User:Now its is more
User:Urine is very smelly and it is very itchy
User:I also have lower abdomen pain
Doctor:Can you explain further if there are any other symptoms?
User:I have frequent urge of urination..but it has burning sensation
User:Initially it was itchy only when I pass urine but now it is always.
Doctor:May I know your age and gender?
User:22 yrs and female
Doctor:Since when are you suffering from this illness?
User:4 days
User:I do have fever
Doctor:You said you frequently suffer with UTI - Do you mean the symptoms are only for the last 4 days or is it occurring since few months/years?
Doctor:Are you there?
Doctor:Are you there?
User:its occurring since last 1 year
User:every month
Doctor:Have you seen a doctor?
User:But sometimes when i drink more liquid food
User:it gets cure
User:yes i did
User:3 months back
User:She gave Augmentine 650 and Citral liquid.
Doctor:I would like to know ask about sexually history in this case, I hope you are not offended. I would like to know if you are active sexually?
Doctor:Are you there?
Doctor:Are you there?
User:I am not married.
Doctor:Thanks for providing the details.
Doctor:Now let me brief you.
Doctor:The current symptoms that you describe is definitely suggesting urinary tract infection.
Doctor:You will need urine test - urine routine and culture to isolate the causative organism.
Doctor:The appropriate antibiotic can be started based on the sensitivity report.
Doctor:Since you have the typical symptoms while passing urine and fever, I recommend you to get the tests done, if you haven't done yet.
User:But how do I go for the test without any reference letter?
Doctor:Now, the reasons why you have recurring symptoms may be because:
Doctor:1. You are not treating the previous infection appropriately/completely.
Doctor:It is essential you take the complete course of antibiotics during each episode.
Doctor:2. The infection involves bladder. Cystitis is a condition that refers to inflammation of bladder. Some infection causing cystitis can remain dormant and recur again.
Doctor:3. You may have a co-existing gynecological illness.
User:I have PCO.
Doctor:PCOD is not the cause.
Doctor:Generally problems in the uterus - pelvic infections / cystocele and so on can be the cause.
User:How do I go for the test without any reference letter?
Doctor:4. Lastly sporadically recurring infection may be due to deficiency in personal hygeine.
Doctor:In order to know if any of these reasons is the cause of recurring infection - you will need to be investigated further.
Doctor:A gynecologist check up and ultrasound scan is therefore essential along with routine urine testing.
User:How do I go for the test without any reference letter?
Doctor:You are therefore advised to consult a gynecologist and plan all the test I described.
Doctor:Have you followed?
User:Thank you
Doctor:Do you have any questions?
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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