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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Urination?

Hi my husband started with burning sensation while peeing then fever for two days went to urgent care urine test for bacteria diagnosed for acc cute uti gave him a shot of resfryn and cipro ten days he stopped taken the cipro 5 days on that day we had our routine blood work his PSA LEVEL was 7.6. But was fine he felt ok for two weeks but primary wanted a urologist to see him so he just went Thursday he diagnosed him with prostitus after he ruled out anything out by rectal exam then but on keflex and also gave him a shot of antibiotic in the office so he drank keflex Friday sat and Sunday morning by mid day he was in agonizing pain He then notice one testicle swollen we go to the ER HE THEN DOES ultrasound of testies and states no torsion but epitimytus now on cipro then another antibiotic since Sunday evening so sun min tues on new antibiotics Tylenol codeine doesn t work only ibuprofen helps I have more pain I have fever but I can bring it down with ibuprofen but the testy is bigger and more swollen and feels harder
Thu, 5 Nov 2015
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Urologist,  's  Response
Hello
Thanks for query .
Based on the sequence of events and symptoms that your husband is going through I would state that initially he had UTI which got complicated into acute prostatitis which spread retrograde to epididymis causing Epididymitis.

Though he has been taking antibiotics it is likely that the organisms may not be sensitive to those antibiotics making it to get prolonged and complicated . .
He needs to do his urine culture to trace out the organisms causing this infection and antibiotics to which they are sensitive to so that infection can be controlled with appropriate antibiotics,

In the mean while start taking broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin and anti inflammatory medicine like Diclofenac twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.

Please note Epididymitis and Prostatitis takes long time to get cured hence he will need to take medications for 4-5 weeks .

Dr.Patil.




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What Causes Painful Urination?

Hello Thanks for query . Based on the sequence of events and symptoms that your husband is going through I would state that initially he had UTI which got complicated into acute prostatitis which spread retrograde to epididymis causing Epididymitis. Though he has been taking antibiotics it is likely that the organisms may not be sensitive to those antibiotics making it to get prolonged and complicated . . He needs to do his urine culture to trace out the organisms causing this infection and antibiotics to which they are sensitive to so that infection can be controlled with appropriate antibiotics, In the mean while start taking broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin and anti inflammatory medicine like Diclofenac twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report. Please note Epididymitis and Prostatitis takes long time to get cured hence he will need to take medications for 4-5 weeks . Dr.Patil.