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Kidney with tiny calculi crystals, recurrent UTI, frequent urination. Normal transvaginal ultrasound. Treatment?

hi.30 yrs old. 5 2. weight. 45 kilo.from philippines..single. i went to obgyne... she told me to take transvaginal ultrasound ... to check if everything is normal.. it was... only to find out that there a problem with my bladder ... i have taken a KUB ultrasound. both kidney are normal with few tiny calculi crystals such as uric acid , oxalate , xanthine, or matrix crystals are seen . pre-void volume :550ml post void residual urine volume : 494.9 ml the doctor say my UB is diffusedly thickened,,, when i pee... incomplete bladder emptying. multiple low level echoes are noted within, most likely representing debris or segments, blood pigment or even tiny stones wide necked diverticulum at the right infero-lateral wall of UB impression: a. distal, partially obstructing process, proximal to uvj b. decreasd ureteral peristalsis as seen in recent passage of a stone & /or UTI C. vesicoureteral reflux ub wall changes suggestive of chronic cystitis my symptom recurrent uti, even i drink medication like ciprobay for 10 day 2x a day.. my uti still not cure, also bactrim 500mg.3x a day.. still have uti... i have frequency urinating...but when i sit to pee.... pressure in the abdomen when i took 5-10 second to urinate. not so many urine come out. sometimes i have to jump up and down ... 2nd urination again... weird right? wake -up at night to urinate... my urine color is yellow but have an awful smell... like acidic smell so strong... i drink cranberry juice, as i read it cure the uti... for 4 days.. still i have uti... i have tested cbc, fbs its all normal urinary test show - positive bacteria in my urine analysis help me ,, what to do... what medication would i take that available here in philippines? what remedies? what drink and food to avoid? what disease i have?
Asked On : Fri, 1 Mar 2013
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Pathologist and Microbiologist 's  Response
hi there,you are not only suffering from Chronic UTI but also have chronic cystitis and diverticulitis of the blader which can explain the post void residual urine and bacterial growth along with uti. IN simple words your bladder wall is thickened and it is not contracting properly to evacute the bladder while you pass urine leaving some of it behind whichgets infected and the cycle continuees. You will need to see a urologist who will be able to evalute you as to the cause of your condition and if at all there is any surgical cure for it. I don't think thsi condition can be treated with medication alone. Please do get a consultation as soon as possible and start treatment, before it gets worse and affects your kidneys take care.
Answered: Wed, 13 Mar 2013
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