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Urology Community

This patient support community is for discussions relating to urology issues, benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections, and urological cancers.
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Frequent Urination but UTI is clear

by sanjeev_84, Jul 05, 2008 03:18PM
I an having frequent urination for past 8 weeks. the frequency was worse like once in every 30 minutes and really uncomfortable. I had some urine culture test but they were clear, doctor told me that i don't have any infection or diabetes (As the blood sugar was normal) and recommended to meet a urologist. Urologist told me it might be due to anxiety, and prescribed UROTEL XL . It gave me some relief, but I noticed after masturbation the frequency was again once in an hour.
Is it somewhere related to prostate or what exactly is the disease?
Is this medicine appropriate?


This discussion is related to Frequent Urination - 24hrs a day - I Tried Everything- Please Help.
Member Comments (11)

by Dr Smitha Mathews, Jul 06, 2008 12:07AM
To: sanjeev_84
Hi,

It is possible that you may have an infection of the prostate gland.

Prostate infections are usually detected in routine urinalysis.
You can have a prostate exam or a prostate ultrasound to identify prostate inflammation.
Frequency recurring after masturbation does point toward the prostate.

You can also take a course of an antibiotic that treats the usual organisms infecting the urinary tract, such as ciprofloxacin 500 mg twice daily for 5-7 days.

Also increase your intake of fluids to over 2000 ml per day.
Avoid caffeine and alcohol.
Try to destress.

Dpo keep us posted on your doubts and progress.
Regards

by sanjeev_84, Jul 14, 2008 01:28PM
To: Dr Smitha Mathews
Thanx doctor for the quick response
Actually I took a 5 days course of infection, but after the reports were clear doctor told me to stop that course.
then I took this UROTEL XL for 15 days. tomorrow or day after tomorrow I need to meet doctor, because the frequency has gone but, the feeling is not gone. when i urinate there is still this feeling, but now its not urgent.

by Dr Smitha Mathews, Jul 15, 2008 05:21PM
To: sanjeev_84
Hi,

Urinalysis does not usually pick up a prostate infection in one test alone.

A more detailed examination, specific to the prostate, would be good as it could identify the cause of the problem.

Urotel XL (tolterodine) is juat a drug that acts on the bladder to reduce frequency symptoms. It does not cure the cause.

The source of the frequency and discomfort will need to be identified and treated to avoid a chronic problem.

You may need to have a digital rectal examination to rule out prostate enlargement asnd may also be required to have a prostate ultrasound or a prostate massage test.

Do you know what antibiotics you were on for 5 days? And did you notice if your symptoms lessened while you were on them?

Stress could also be a factor mediating your symptoms, hence due attention to adequate relaxation will be an adjunct to healing.

Sitting in a hoy bath is known to relieve prostate symptoms, so ya can try sitting in a hot bath for 10-15 min twice daily and check whether your symptoms subside with this measure.

Regards

by sanjeev_84, Jul 16, 2008 08:56AM
To: Dr Smitha Mathews
Hi Doctor,
I was on Puridium 200 and Ciplox 500.
actually it was not cured at that time, and i had to go to urologist.
It has been more than 45 days since this problem has started.
But i dont feel any pain as such, no burning while urination, the only problem is frequency of urination. If it is a prostate/renal problem, is it too late?

by Shoba20, Jul 21, 2008 10:40AM
To: Sanjeev_84
Hi..

I am having the same problem as ou stated, i am also taking UROTEL XL for the past one and half month. I am cured of it. But frequency is controlled, i dont ahve pain or irritation or burning... I dont know whom to consult or what to do.. If have any suggestions, please help me.

by Shoba20, Jul 21, 2008 10:41AM
To: sanjeev_84
Sorry , in my previous comment. I said, i am cured. but i was about to say i am not cured.

by Dr Smitha Mathews, Jul 21, 2008 09:52PM
To: sanjeev_84
Hi,

No, its not too late to deal with the problem, whether its related to the prostate, kidneys, or bladder.

Antibiotics should have been decided upon based on the organism identified.
Urinalysis may not detect any organism in a single urinalysis. Specific examination of prostate fluid (by prostate massage test) and culture sensitivity of the identified organism will help decide on an appropriate antibiotics in treating the infection (if there is one).

A prostate ultrasound will help determine whether the prostate gland is enlarged or has developed any structural abnormalities.

If frequency is persisting despite the UROTEL, do discuss a switch in drug in consultation with your urologist.

Meanwhile, avoid prostate irritants. These include alcohol, caffeine, spicy foods, and citrus fruits.

Regards

by honey09, Jul 26, 2008 01:31PM
To: frequent urination after every 10 mins
Hello Doctor,
my problem is that when i drink water or any juice i have to urinate justafter 8-10 mins, and it happens 5-6 time after every 10 mins. ... i dont have medical insurance so i cant consult a doc.. plz help .. my aunty is a doc she gave me ciproflaxacin 500mg last night..i have taken 2 doses of it with 2 tablets of Urinary Pain Relief.. still have same problem i think antibiotic  takes time to effect .. so i have to wait 3 days ... but i m having this problem since monday.. (almost 5 days)
in beginning i started to drink cranberry juice n lots of water .. but u suggest me what shuld i drink ??
i had a UTI 4 months ago, at that time i had antibiotics for 7 days and that cured..

by Dr Smitha Mathews, Jul 26, 2008 09:12PM
To: honey09
Hi,

You will need to post your queries in a separate post and not add it in a thread.

If antibiotic therapy is effective, results will be apparent in a few hours even though the change may appear slight.

Do post this query as a separate post so it can receive the attention and response it deserves.

Regards

by sanjeev_84, Jul 27, 2008 02:59PM
To: Dr Smitha Mathews
hi doctor
i went through renal ultrasound... prostate kidneys are normal (in shape as well as contour). My doctor said this is a problem related to profession (he meant anxity).
doctor changed my medicine, now I am on soliten 10 mg(solifenacin succinate) and Dynapres .4mg (tamsulosin hydrochloride). Frequency has potencially reduced... I am back to normal, but dont know for how long.
AND thanx for consultation, It was a great help..I ll keep you posted time to time
Thanx again