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Painful, foamy urine. Please help

I've been seeing a urologist since April 09 for painful, foamy urine. My urinanalysis and shows no protein in my urine, although from time to time trace white blood cells are found. All urine cultures have been negative. My kidney function is normal. Cystoscopy showed no anatomical abnormalities. I have not been given a 24hr urine test.

Although my kidney function is normal, I am concerned because I feel that my urine looks more concentrated/yellow than it used to. I stay hydrated, drinking plenty of water.

My urologist is more concerned about prostate health, although I am young (24) and have never been sexually active. He has tried Ciprofloxacin and Doxycycline in case of a prostatitis.

I also have a sticky mouth that begun with the dysuria symptoms, although this may be due to my medication for anxiety (Lexapro). Anyone have any ideas what could be going on? Should I consult with a nephrologist?
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Avatar universal
Dr. Singh,
I actually have not taken a 24 hour urine test.
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Avatar universal
MEDICAL PROFESSIONAL
Hi,
Since you have got done most of the tests including the 24 hour urine protein test and it has come out as negative, I don’t think it’s primarily due to the presence of protein in urine although it’s the commonest cause of the foamy urine. Simply forcefully passing the urine can also produce foamy urine. A gall bladder disease also needs to be ruled out as sometimes the presence of bile salts in the urine an also produce frothy urine.  I sincerely hope that helps. Take  care.
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