Just in case anyone else experiences unexplained clear urine or legions, I thought I'd let you all know the diagnosis.
The heavy antibiotics suppressed my immune system to such a degree that the herpes (HSV 1) legions appeared. The immune system normally keeps the dormant HSV virus in check.
The meds also killed all my beneficial bacteria to such a degree that candida albicans (yeast) grew wildly in my intestines. Beneficial bacteria also keeps normally occurring candida in check.
Clear urine is a result of a lack of vitamin B-producing bacteria in the intestines. I'm replenishing these now by doing a colon cleanse and using probiotics. And never will I take antibiotics again.
Is there any explanation for the abnormally clear urine I've been experiencing since stopping the Acyclovir?
Quick update: The pain in the pelvis persists and is constant. In addition, today I have had a burning sensation when urinating and the color looks a bit darker. Not yellower, just darker. Got last week's blood work results back and was told that they are normal, though there is trace blood in urine.
It is difficult to answer your questions without examination.
PID is certainly possible - any the antibiotics are appropriate for this diagnosis.
There is the possibility of a pelvic abscesses - and a CT scan can be considered to evaluate this possibility.
Dark urine can be due to infection, dehydration or kidney disease. Levaquin can be harmful to the kidneys in the setting of pre-existing disease, so you may want to consider blood tests to evaluate the creatinine level. Blood tests can also evaluate the liver function.
As for the lesions - the blood tests are not 100% accurate for herpes. You can send off a culture for a more definitive diagnosis.
At this time, a pelvic CT scan would not be unreasonable.
You can discuss this with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b