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Urology (Expert Forum)
urinary question
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
urinary question
by ginaru, Jan 09, 2005 12:00AM
Dear Doctor, I have a question about my first Urinary Tract Infection.On lab work I had trace of protein, 3+ on urine occult blood, trace on leu.esterase,Red blood cells too numerous to count, white blood cells 4 to 8, and a trace of epithelial cells.There was no bacteria. Is this definitely a UTI even though there was no bacteria present? I had pressure, burining and blood in urine. Three months later I had symtoms with no bacteria but trace blood,and trace epithelial cells. I then went to a urologist and he did a culture and said I had a little infection and gave me meds.I still didnt feel better my GP got a EColi count of 50,000 and gave me Cipro. I have since had a bladder, kidney ultrasound and a cystocopy that came back normal and I still have symptoms of mild pressure and some frequent urination. The doctor told me my body still thinks I have the infection because I had it for so long. Is this normal? Im also heading to OBGYN next, but, in my mind I keep thinking about interstitial cystitis.I also seem to have a itchy bladder. I appreciate any input you can give me this is really uncomfortable and upsetting.
Doctor's Answer
by Kevin Pho, MD, Jan 11, 2005 12:00AM
, Jan 11, 2005 12:00AM
UTI is more strongly suggested by the amount of white blood cells present - and at 4-8 WBC this can be suggestive of a UTI. You may also want to ensure that bacteria that grew out was sensitive to the antibiotics you have received.
That being said, you have had a pretty comprehensive urologic evaluation - including ultrasound and cystoscopy, making things like bladder cancer or polyps less likely.
If there is concern about interstitial cystitis, you may want to consider a potassium sensitivity test - which can be discussed with your urologist.
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.
Medical Weblog:
kevinmd_b
That being said, you have had a pretty comprehensive urologic evaluation - including ultrasound and cystoscopy, making things like bladder cancer or polyps less likely.
If there is concern about interstitial cystitis, you may want to consider a potassium sensitivity test - which can be discussed with your urologist.
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.
Medical Weblog:
kevinmd_b
Member Comments
by gardenofeva, Jan 17, 2005 12:00AM
To: Misc. (Urology)
0
by adolfina, Feb 28, 2008 06:07PM
A related discussion, urinalysis was started.
