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UTI with abdominal pain and back pain - 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 : 2005
Answered : 2408 Questions
User :   Hi, I have been to doctors a couple times in the last four years for bladder infections - the first time I went in I had bloody urine. The last time it was just cloudy, but they found white blood cells in it. No matter what they give me or what I do, the symptoms do not leave. I was asked if I had abdominal pain and back pain, but did not before, but recently I have just been feeling these for the first time in my life without being on my period. I'm afraid some kind of "Chronic" lower bladder infection is going higher. I take cranberry pills, azo pills, and apple cider vinegar pills each about 5 times a day - barely helping. What should I do?
Doctor :   hi
Doctor :  
let me read
User :   hi, k
Doctor :  
yes you are possibly suffering from chronic urinary tract infection
User :   is there a treatment?
Doctor :   was urine culture and sensitive test done ?
User :   I'm not sure what urine culture is, but they did run a test on the urine, and find white blood cells, which they said meant I was fighting an infection
Doctor :  
it is urine routine examination
User :   And I have had a sensitivity test done with an std test, (negative) but there seemed to be nothing unusual at the time
Doctor :  
how many pus cells were there in the urine test?
User :   I wish I knew, they didn't say, do you think they'd tell me if I called, would they keep it on file?
Doctor :   ok
Doctor :   were you put on antibiotic?
Doctor :  
for how long?
User :   Yes, 7 days, 14 pills, of Bectrum (has trimethoprim) in it
Doctor :  
after that your symptoms were resolved?
User :   it made the symptoms more mild, but I started taking Azo cranberry pills then, as the doctor suggested, too
Doctor :   next time if you get infection ask your doc for an urine culture and sensitivity test
User :   Will that tell them if I have a higher bladder infection that's more serious or something?
Doctor :  
this will determine the organism responsible and the antibiotic which is good to give
Doctor :  
also you need to observe certain facts
Doctor :   urinary tract infection is most common in females
Doctor :  
the cause is the close proximity of anus with the vagina
User :   Yeah, I know
Doctor :  
and most of the time the infection source is anus
User :   Do you think i should see a specialist?
Doctor :   foe what?
Doctor :  
User :   The doctors and hospitals here think that there's no such thing as chronic bladder infection
User :   they thought it was an std
Doctor :   ok
User :   they say the symptoms and all should be gone
Doctor :  
Doctor :  
i don't think it is necessary for an urologist to intervene now
User :   So you think I'm just not getting the right antibiotic?
Doctor :   what symptoms do you have now?
User :   back pain, abdominal pain, urinary pain, cloudy urine, urinating constantly (when not needed), burning, itching
Doctor :   from how many days is this present episode

User :   There's no "episodes" I've had chronic pain/itching for four years
User :   sometimes worse than other times, but never goes away
Doctor :   so the symptoms is not in episodes but continuous?
User :   And I think I had minor "episodes" as a child, but never knew - I never went to the doctor, but teachers and parents complained that I was "always in the bathroom"
User :   As I kid I itched, but thought it was normal
User :   Yes, continuous
Doctor :   than it is better you consult a urologist
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