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Recurring UTI Even After Treatment, Increases With Less Water Intake And Roaming In The Sun. Guidance?

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Posted on Tue, 11 Jun 2013
Question: Sir,My age is 32 yrs and for last 20 odds days i have been suffering from urinary infections .I have done routine test earlier which showed puss cell 3-5 hpfand epithelial cell 2-4 Hpf After 20 days again i did the test as there was burning sensation during urniation and pain.The pain also stays for sometime .The medication i was given Norflox 400 .This time report showed trace of albumin,RBC -3-4 HPF and PUS Cell 3-4 hpf and crystal of Calcium Oxalate .I took anti biotics and ultrasound KUB done it shows no stone in report.I stayed good for sometime 5-6 days after the medicine stopped but recently i again feel burning sensation and pain after urniating .It sometimes increase when i go out in sun and if the water intake is less.The doctor gave me medication urifree,Mahacef plus ,entroflora and alkasol.
doctor
Answered by Dr. Rajiv goel (11 hours later)
Dear Sir,

Young males very rarely get UTI. There is always a reason for the same and the most common reason is stone disease and the presence of calcium oxalate crystals in your urine examination also suggests that you are at least crystal former if not stone former.

I shall also be interested to know whether your foreskin gets retracted back and whether you maintain good hygiene.

I shall like you to repeat your ultrasound KUB and also get serum uric acid levels done.

In the meantime, kindly stop all the above medications after you completed the courses as prescribed by the doctor. You should start yourself on T. Veltam 0.4 mg once in the night and get back to me with the investigations.

Sincerely

Rajiv Goel
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rajiv goel (4 hours later)
Sir, KUB was done 5 days ago .As prescribed by you when should i take T.Veltam 0.4 mg regularly or once in 7 days and till when.Regarding my hygiene factor i use washed undergarments which is sanitized.Regarding the sexual habit i don't have any sexual intercourse till date with anybody and i am unmarried but sometimes masturbate to fulfill the sexual desire off late which has shown lower erection level of penis and pain during erection.Sir if you can make me clear what does it mean your foreskin gets retracted back . i am also worried with my lower erection level because early next year i am going to get married.As you have prescribed me serum uric acid level should i do blood test for it or normal urine examination.If i am going for blood uric serum test then should i check my sugar because there were traces of albumin in the report.Waiting for your revert . What should be be diet plan what all things i should i do to minimize the UTI and have good and healthy living.Thanks Vivek.
doctor
Answered by Dr. Rajiv goel (20 hours later)
Dear XXXXXXX

I shall not be worrying about the decreased sexual desire at this point of time. Veltam needs to be taken in night.
Serum uric acid is blood test.
Retraction of foreskin means that are you able to pull the skin back off glans and clean the area or not.
There are no dietary restrictions as of now but we shall get you investigated at a later date and define dietary restrictions for you.

All the best.

Sincerely

Rajiv Goel


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rajiv goel (10 minutes later)
Sir,
Is it T.Veltam 0.4mg. Sir what i could know is Veltam is also used for treatment of Benign prostrate sorry if the spelling is wrong. Do you see some kind of such symptoms.

Regards,
XXXXXX
doctor
Answered by Dr. Rajiv goel (25 hours later)
Dear XXXXXXX

Veltam is medication used for treatment of prostate but it is also used for treatment of stone disease.

Take care

Sincerely

Rajiv Goel
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rajiv goel

Urologist

Practicing since :1998

Answered : 581 Questions

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Recurring UTI Even After Treatment, Increases With Less Water Intake And Roaming In The Sun. Guidance?

Dear Sir,

Young males very rarely get UTI. There is always a reason for the same and the most common reason is stone disease and the presence of calcium oxalate crystals in your urine examination also suggests that you are at least crystal former if not stone former.

I shall also be interested to know whether your foreskin gets retracted back and whether you maintain good hygiene.

I shall like you to repeat your ultrasound KUB and also get serum uric acid levels done.

In the meantime, kindly stop all the above medications after you completed the courses as prescribed by the doctor. You should start yourself on T. Veltam 0.4 mg once in the night and get back to me with the investigations.

Sincerely

Rajiv Goel