burning while first urination only in the morning

[suuny123]

Dear Doc,

From Last one week I am experiencing lower back back and specially on the left side. I went to a doctor and he said its lumber starin due to playing cricket after which the pain started... But also during the xray the doc said that I have a stone like in my abdomen.. And in last 4-5 days couple of times i have felt burning while i pee after i wake up in morning..there is no weird smell or bad smell.. the color is dark yellow-orangy..How worried should I be ? Also I read that burning while pee is also a symptom of std or sti.I had a couple of encounters with escorts a few nights ago but It was protected sex.... So my question to you is that is my situation caused due to std or sti as i read in those situation it burns everytime you pee but I feel in once in morning and that too for a few seconds and otherwise the whole day it never burns and also their isnt any kind of discharge.... Please help...could it be due to kidney stone as my doc diagnosed in the xray when i went for back strain check or it could be a std or sti..or I am just being uneecesarily worried. ??

Thanks

[suuny123]

Dear Doc,

I got my preliminary urine reports today. It indicates a possible urethral infection. ( no of pus cells in 15 )
the gram stain states- no gram negative intracellular or extracellular diplococci seen.9-10 pus cells/hpf

And the in the urine reports the following are highlighted.
leukocyte 1+
pus cells 15
mucus thread -seen

Rest all is showing normal in the also the bacteria and yeast cells is showing nil.

The doctor is waiting for culture reports to determine exact cause and refuses to say anything before.

Can you tell me with the details I provided here that there is a chance of std or its a UTI or something to do my stones seen in xray in abdomen.. Also today I  didn't experience any burning while peeing.. Please I cant get my mind of it. the word pus cells makes very scared.
Please if you could help me out here.
Thanks,

s

[Bhupinder Kaur, MD]

Hello,

Thanks for posting your query.

I can understand your concern for the burning micturition and lumbar pain that you are having. The two reassuring points in your case are:

1) You had protected sexual intercourse and it lowers the chances of sexually transmitted diseases. Moreover sexually transmitted diseases presents with symptoms like discharge from the penis, rashes, ulcers, itching of penile tingling etc.

2) On the x-ray kidney stones were detected. So it is more likely to be due to kidney stones and urinary tract infection.

UTI is caused by bacteria that get inside your urinary tract. Most bacteria that enter your urinary tract are expelled when you urinate. If the bacteria stay in your urinary tract, you may get an infection. People with kidney stones are more predisposed to UTI’s because any obstruction or blockage in your urinary tract stops your urine from flowing freely. This may cause pooling of urine and growth of bacteria.

You need to get your complete urine examination and urine culture done. This will not only identify the organism causing UTI but the antibiotics to which the bacteria as susceptible as well. Also get an ultrasound done to confirm the presence of kidney stones.

I would also suggest you to get an evaluation done from a urologist to determine the type of stone. Treatment modes include Extracorporeal Shock Wave Lithrotripsy (ESWL), uteroscopic stone removal and percutaneous nephrolithotomy but it depends on the size of the stone.

If the size of the stone is small, it’s usually treated with ESWL in which shock waves are given from outside and stone breaks into small pieces. On the other hand, if the stone is quite big, then the surgical removal of the stone is a better option.

I also suggest you to drink lots of water for it does facilitate at least in preventing the formation of new stones. Drinking lots of water helps to flush away the substances that form stones in the kidneys. Sometimes exercises like skipping and trampolining which might help in flushing out the small stones.

Also limit your coffee, tea, and cola to 1 or 2 cups a day and depending on the type of stone, get a diet chart prescribed. If you have a uric acid stone, you should eat less meat and if they are calcium oxalate you may need to limit foods that are high in oxalate. These foods include rhubarb, beets, spinach, and chocolate.

Hope that this information helps and hope that you will get better soon.

Wishing you good health.