Looking for a connection

[james j]

I have been to several doctors and so far we have determined that I have IBS and white blood cells are present in my urine.(culture has showed negative on 3 different occasions)  My symptoms are that of IBS but also a dull pain in my lower back, a strong odor from my urine, and urinary urgency.  I am convinced the two problems are somehow connected seeing as when IBS symptoms are less so are my "UTI" symptoms.  The whole thing started with IBS symptoms and the UTI symptoms sort of crept in later.  I have done some research myself and leaky gut syndrome seems a likely culprit but I have found no mention of leaky gut causing urinary problems.  I am a young male (26) and find that most cases refer to older males and females, which I find to be unsettling.  My case seems to be unique and I would greatly appreciate any ideas or insight you may be able to provide regarding my debilitating problem.

[Kevin Pho, MD]

Certainly prostatitis can cause your symptoms such as lower back pain, urinary odor and urinary urgency.  

I would suggest a digital rectal exam to evaluate the prostate, and to culture any prostatic secretions.  There are some cases where 4-12 weeks of antibiotics are necessary.  Tests for STDs such as gonorrhea or chlamydia should be performed.  

If negative, you may want to consider a transrectal ultrasound to make sure no prostatatic abscesses are present.  Another consideration would be a scrotal ultrasound to evaluate for epididymitis.  

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.

Thanks,
Kevin, M.D.

[surgeon]

Have you seen a urologist? Have you been evaluated/treated for prostatitis? That would be high on my list of possibilities.