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Recurrent burning urination even after taking antibiotics. Done swab tests. Any clues?

I suffer from a burning pain after urinating, but have been to doctors many times and all they seem to say is that I have a uti and send me home with antibiotics . These give me some relief but after the course has ended the pain comes back. I have recently been for swab tests and a check up and came back clear for any problems. I have been suffering with this for five years and have managed to find my own relief and maybe a reason for my pain. I often find that I have to drink loads of water, (often to the point where I m going to the toilet every 5 minutes) so my urine is less acidic. I have a feeling that my urinary tract might be ultra sensitive and its ruining my life. Any clues, advice??
Asked On : Fri, 9 Nov 2012
Answers:  1 Views:  5726
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General & Family Physician 's  Response
Thank you for your query and Welcome to HCM.

In men, Dysuria (pain or burning during or just after urination ) may be a presenting complaint of urethritis, prostatitis, epididymitis, or urinary tract infections (UTI). Urethritis is more common in young sexually active male, whereas UTI occur in old patient with prostate enlargement or catheterization. Any obstruction in the urinary tract like stone or tumour; structural deformity can make the UTI recurrent. Presence of systemic complains like fever and chills etc help to differentiate the diagnosis. Urethral swab specimen and various specific testing, Urinalysis, Urine culture and sensitivity, Ultrasonography, Radiography, Test for diabetes etc are required for proper diagnosis.

You are right that drinking loads of water make your urine less acidic & increase the frequency, thereby it might relieve some discomfort. Potassium citrare and citric acid combination often prevent buring sensation. Cranberry juice also helpful in recurrent UTI. Antimicrobial prophylaxis is highly effective.

Consult with Urologist for better management.

Hope this helps.

Answered: Fri, 9 Nov 2012
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