Urogynecology Expert Forum
bladder pain
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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bladder pain

I developed a uti while on zithromax for a sinus/chest infection, was put on septra ds , symptoms only got slightly better, then got worse, was then put on macrobid an symptoms have not been relieved,
symptoms are : pain in bladder area, all the way down to urethra,having to void q 1/2 hr, some blood seen on paper when wiping,unable to walk too much as pain and pressure in pelvic area increases, went to ER ,they did a urine dip -showed no infection (but I am still taking the macrobid) did an ultra sound -they said it was normal! I am in so much pain and discomfort i do not know what to do-They have not got the urine culture back yet and so refused to give me another antibiotic . From my symptoms alone I think I still have a uti and as soon as i finish the macrobid it will get much worse. please advise what tests should be done and what meds they should be putting me on?? I am thinking cipro might be the one I need? i have also had right flank pain as well (aching) . About 3 weeks ago, i had a dental implant done, then i became sick. Could this have a bearing on my uti??
please advise,
thank you
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1344197_tn?1392822771
Sorry to read of your problem. While  Symptoms associated with the urinary bladder are most often do to infection, if the culture is negative further investigation is warranted.  Causes related to urinary bladder stones, medication reactions, infections in the vagina such as herpes virus, chlymidia & trichamonus (all of which would not show up on routine culture), over active bladder, dietary bladder irritants (caffeine, alcohol, acidic foods & drink), and painful bladder syndromes, interstitial cystitis must be considered.

If you have failed to respond to appropriate antibiotics therapy based on culture results, or if the culture was negative, I would suggest seeking further evaluation. It is unlikely that the dental procedure and you subsequent illness are related in my opinion.
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1344197_tn?1392822771
J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
Plano, TX
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