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Urology (Expert Forum)
UTI or other infection
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Vattikuti Urology Institute, Henry Ford Hospital
West Bloomfield - MI
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
UTI or other infection
by yoyomo, Oct 10, 2009 03:34PM
Hi Doc :
For starters I am a 28 year old male.
About a week ago I noticed that I was having slight testicular pain in my left testicle. I also had a case of slight back pain on the same side. The occurred after a bout of oral sex from a girl I was dating so I attributed the pain to our efforts in the bed room. However, I also noticed that I was having urgency and frequency issues when I had to urinate. I did a little research and it seemed to lead me to a UTI. I also considered Epididymitis caused gonorrhea/chlamydia at worst. However, I do not have any fever, nausea. The girl told me that she had a tooth infection...after the fact! Could this come into play? In anycase after doing my research , I decided that my best course of action was going to a clinic. I went and the doctor said that being a male it was rare that I had a UTI and that if there were an issue that it was mostly cause by an STD. I told her that I didn't have any discharge or any of the accompanying symptoms with an STD. The doctor examined me and took a urine sample , which she sent off to the lab. She also prescribed me a strong course of azithromycin (4) taken at once and a cycle of CIPRO for an entire week. The doctor told me that if it were an infection or worse that the prescribed meds would clear me up in a week. I took the azithromycin and the pain subsided in my left testicle a little bit. I am however noticing that I have a case of protienuria or foamy urine. I read that this is associated with a UTI but I am worried as I know it can also mean kidney issues. The back pain has subsided but also sread to my right side. I do notice that it goes away when I take the CIPRO.
I have only been taking the medicine for a day but I was curious of your opinions and thoughts about the protienuria. My urine is not extremely foamy but there are bubbles and foam that weren't there before. Can I take an over the counter like AZO to help with this ?
Many thanks.
For starters I am a 28 year old male.
About a week ago I noticed that I was having slight testicular pain in my left testicle. I also had a case of slight back pain on the same side. The occurred after a bout of oral sex from a girl I was dating so I attributed the pain to our efforts in the bed room. However, I also noticed that I was having urgency and frequency issues when I had to urinate. I did a little research and it seemed to lead me to a UTI. I also considered Epididymitis caused gonorrhea/chlamydia at worst. However, I do not have any fever, nausea. The girl told me that she had a tooth infection...after the fact! Could this come into play? In anycase after doing my research , I decided that my best course of action was going to a clinic. I went and the doctor said that being a male it was rare that I had a UTI and that if there were an issue that it was mostly cause by an STD. I told her that I didn't have any discharge or any of the accompanying symptoms with an STD. The doctor examined me and took a urine sample , which she sent off to the lab. She also prescribed me a strong course of azithromycin (4) taken at once and a cycle of CIPRO for an entire week. The doctor told me that if it were an infection or worse that the prescribed meds would clear me up in a week. I took the azithromycin and the pain subsided in my left testicle a little bit. I am however noticing that I have a case of protienuria or foamy urine. I read that this is associated with a UTI but I am worried as I know it can also mean kidney issues. The back pain has subsided but also sread to my right side. I do notice that it goes away when I take the CIPRO.
I have only been taking the medicine for a day but I was curious of your opinions and thoughts about the protienuria. My urine is not extremely foamy but there are bubbles and foam that weren't there before. Can I take an over the counter like AZO to help with this ?
Many thanks.
Doctor's Answer
by Stephen Liroff, MD, Oct 18, 2009 11:30PM
, Oct 18, 2009 11:30PM
Your physician made a reasonable decision in prescribing as she did. Foamy urine may be seen with proteinuria, but does not make the diagnosis. A twenty-four hour collection of urine analyzed for protein is needed to truly determine the diagnosis, though a urinalysis may give you an idea.
Your symptoms may well be that of a kidney stone. If you symptoms return, see a urologist.
There is no need to take AZO.
S.A.Liroff, M.D.
Your symptoms may well be that of a kidney stone. If you symptoms return, see a urologist.
There is no need to take AZO.
S.A.Liroff, M.D.
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