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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
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Dr. Harichandana,
MBBS, MD (General medicine)
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Burning urination can point towards UTI or prostatitis.
Vericose veins are caused to to prolonged standing causing damaged valves in the veins.
Low blood sugar can have variety of causes.
Abnormal blood picture also have many causes including nutritional deficiencies.
Abnormal bilirubin can indicate either a liver dysfunction or Red blood cells destruction.
Consult directly for further information.
Next Steps
consult
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✓Prediabetic symptoms..could be mild prostatitis or uti
Next Steps
✓following tests needs to be done
Urine routine + urine culture,
PSA ,
LFT ,
Ferritin + Iron profile,
Vitamin B12
Fasting insulin
Scrotal Doppler to rule out varicocele
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Do the following,
1. Urine microscopy and Ultrasound abdomen
2. Blood tests - Early morning Cortisol, TSH, Coeliac antibodies(IgA-TTG), B12,Folate, Ferritin, CK, Hepatitis B, Hepatitis C and HIV test
All the best.
J G S R clinic
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You have asked 7 questions.
Please ask them one by one.
They don't have a single answer.
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What about alcohol history?
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Burning micturition is most probably due to Urinary tract infection.
Colour Doppler for Varicose vein
Leg pain is present in varicose vein
All routine investigation done
Next Steps
give proper history including -age,sex past medical and sx history ,on examination ( gerenal as well as local)is very imp
Health Tips
if you give proper history and relevant inve. and examination, diagnosis and treatment is more easy
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Consult online
Need proper history and evaluation for further suggestions
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Hello, burning while urination is possibly due to urine infection. But, you seem to be having multiple small issues simultaneously. You should opt for a proper consultation for detailed evaluation and discussion.
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Burning after passing urine could be due to UTI ,STD, prostate disorders etc.Varicose veins could be the reason for leg pain.You can consult a physician in your area for a clinical examination and appropriate management
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Do consult. Lot to discuss
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To rule out urinary infection
Advice ultrasound
Concentrate on iron levels in addition to vitamin D
Next Steps
check serum levels CBC, alkaline phosphatase,1,25 OH vitamin D,iron profile, urine R/E,urine culture
Health Tips
advice ultrasound and consultation
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After taking Proper History and Evaluation OfYour Treatment plan will be decided. Please Consult.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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For which u r most consern are not for u its for academic interest
Burning urine
Uti?
Low vit d3
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Lymphatics block
Varicose veins.
Bilirubin
Change life style n diet plan drastically first.
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since you have too many complaints
please consult
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Please share details of your problem, then I can help you.
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Need some more information.
Consult through practo.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Your symptoms and lab findings suggest multiple correctable issues, not one serious disease.
1. Burning After Urination
Most commonly due to:
• Urinary tract infection (UTI) or mild urethral irritation
• Concentrated urine (low fluid intake)
• Less commonly: prostatitis or local inflammation
This symptom needs urine testing.
⸻
2. Varicocele Veins & Leg Pain
• Varicocele causes pelvic and testicular vein congestion, which can refer pain to legs or groin
• Vitamin D deficiency commonly causes leg pain, muscle aches, fatigue
• Poor circulation + deficiency = pain sensation
⸻
3. Low Vitamin D (4.5) – Severe Deficiency
This alone can cause:
• Muscle pain, weakness
• Bone discomfort
• Fatigue
• Mood changes
This is a major contributor to your leg pain and weakness.
⸻
4. Blood Sugar Average ~82
• This is normal, not low
• Stress, anxiety, or irregular meals can cause hypoglycemia-like symptoms even with normal sugar
⸻
5. Low MCHC + Abnormal RDW
This pattern usually indicates:
• Early iron deficiency or mixed nutritional deficiency
• Can cause fatigue, weakness, dizziness
Low monocytes are often temporary and not dangerous.
⸻
6. Bilirubin 1.8
If Liver enzymes (SGOT/SGPT/ALP) are normal:
• Most likely Gilbert’s syndrome (harmless, stress-related rise)
• Common and benign
Next Steps
Tests You Should Do (If Not Already Done)
• Urine routine & culture
• Serum ferritin & iron studies
• Repeat LFT with direct/indirect bilirubin
• Vitamin B12
• ESR/CRP if pain persists
Specialist Consultations
• Urologist → burning urine + varicocele
• Physician → nutritional deficiencies & labs
Health Tips
• Increase water intake (2.5–3 L/day)
• Start Vitamin D3 treatment urgently (doctor-guided)
• Do not ignore urinary burning
• Avoid prolonged standing if varicocele present
• Regular meals to prevent sugar dips
• Gentle leg stretching + sunlight exposure
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Need more information for further management kindly consult
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You need to consult for further management and evaluation.
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Plz share full reports
Too many concern
Health Tips
Sunlight exposure
Drink adequate liquids
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
Will help you
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Dr. Ram Brahma Reddy
General Physician
6 yrs exp
Hyderabad
Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Infection
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Further evaluation is advised
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Dr. Krishna Pandey
General Physician
1 yrs exp
Lucknow
Findings suggest UTI/prostatitis, vitamin D deficiency, possible iron-deficiency anemia, varicose vein–related leg pain, and mild bilirubin elevation (likely Gilbert’s if LFTs normal).
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Mohd Abrar
Sexologist
15 yrs exp
Srinagar
Deficiency
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Pradeep Bhati
General Physician
11 yrs exp
Jaipur
Microcytic anemia must consult with government surgeon
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Please consult
Available now
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Need physical visit
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Dr. Khaja Moeeduddin Maaz
General Physician
9 yrs exp
Hyderabad
Do you feel the need to urinate immediately after urination ? If yes please get tested for BPH.
Next Steps
take adequate amount of fluids .
limcee chewable tablets once a day for seven days as it's an antioxidant and it will help .
Health Tips
please start multivitamin for a short duration of time to supplement the body for any deficiencies
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.