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What Causes Vaginal Pain And Pain During Urination?

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Posted on Wed, 19 Aug 2015
Question: Pain in the vaginal area And pain while urinating. Did an urine analysis.
Protein - trace
Ph - 5.0
Ketones - not present, nitrites - not present
Rbc-2-3
Leukocytes - 18-20
Epithelial - plenty
Cast - pus cells cast
Crystals - not present
Bacteria present, budding yeast cells
Do I have uti? Should I take an culture
doctor
Answered by Dr. Vaishalee Punj (11 minutes later)
Brief Answer:
Yes a culture can be taken

Detailed Answer:
Hi and thanks for your query.

Yes a urine culture can be taken to confirm the type of bacteria and type of antibiotic that would be needed. Dont take antibiotics before getting culture.

Finding some yeast cells in urine is normal and I dont think you need antifungals so you can avoid those keeping in view their side effects.

Hope it helps
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaishalee Punj (2 days later)
Got my report.
doctor
Answered by Dr. Vaishalee Punj (20 hours later)
Brief Answer:
It seems like UTI due to excessive harmless bacteria

Detailed Answer:
Hi again

There was no bacterial growth in culture and no sensitivity done. Only some gram positive bacteria and yeast cells are seen. Yeast cells are so common nowadays that I would ignore it and not prescribe oral anti-fungals. Oral anti-fungals can have side effects. But I do advice you to get fasting blood glucose levels checked.

For gram positive bacteria I prescribe antibiotic cephalexin (available in the brand name tab keflex) 500 mg twice a day for 3 days. It should clear up the bacteria and improve your symptoms.

Let me know if you have any doubts

Dr Vaishalee
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. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3264 Questions

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What Causes Vaginal Pain And Pain During Urination?

Brief Answer: Yes a culture can be taken Detailed Answer: Hi and thanks for your query. Yes a urine culture can be taken to confirm the type of bacteria and type of antibiotic that would be needed. Dont take antibiotics before getting culture. Finding some yeast cells in urine is normal and I dont think you need antifungals so you can avoid those keeping in view their side effects. Hope it helps Dr Vaishalee