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Urine culture clear,pain in private part
I have been having pain after urinating for 2 weeks. I took antibiotics for 1 week and my pain didn't subside. So last week I took a urine routine and culture test. Reports are negative. But my pain hasn't subsided. When I have an urge to urinate, the pain is more. After urinating, for sometime there is no pain, but then again I experience burning sensation/uncomfortable feeling throughout the day. I am having fungal infection in my private part since 2 years. It is chronic, not going away. I am worried what could be the cause for this pain. Kindly advise
Answers (45)
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Detailed investigation and more elaborate history is desirable.
May be due urinary calculus or sexually transmitted infections or both
Next Steps
Consultation is advisable
Health Tips
Maintaining personal hygiene is desirable
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Get your blood sugar tests done , random and hba1c . Along with that start taking antifungal treatment locally and orally after consulting physically to a dermatologist and for burning urination can apply coconut oil at area externally after bath and avoid using soap any other wash on private parts ,wash with plain water .use clean cotton undergarments and maintain hygeine and consume dahi or probiotics on regular basis and drink 3-5liter water per day.
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1) USG Kub
2) drink plenty water
3) keep the area dry around the intimate area
4) consul as soon as possible
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The symptoms described, such as pain after urination, burning sensation, and chronic fungal infection in the private area, could be due to multiple underlying conditions even though the urine culture is clear. Here are some potential possibilities:
1. Urethritis or Chronic Prostatitis: Inflammation of the urethra or the prostate can cause similar symptoms. It may not always show up in a urine culture test, and additional tests (like semen culture or prostate fluid analysis) may be needed.
2. Interstitial Cystitis (IC): This is a condition where the bladder becomes painful, causing discomfort during urination, even without infection.
3. Fungal Infection: Since the patient has mentioned a chronic fungal infection for two years, there’s a possibility of persistent irritation. Fungal infections in the genital region can cause long-term discomfort, especially if untreated or improperly treated. A consultation with a dermatologist or urologist for better antifungal management might help.
4. Neurological Factors: Sometimes, pain after urination may be linked to nerve issues in the pelvic region.
5. **Consider Imaging**: A **USG of the whole abdomen** or a **pelvic ultrasound** can provide insights into any structural abnormalities that may be causing the symptoms.
**Treatment Approach**:
- Stay well-hydrated.
- Avoid irritants like caffeine and alcohol which can worsen bladder pain.
- Follow up with antifungal treatment for the ongoing fungal infection.
- Pain relief with antispasmodic medications like Zerodol-SP can provide symptomatic relief as recommended.
Advice
It is crucial to consult with me for a detailed examination. I may recommend additional diagnostic tests like cystoscopy or uroflowmetry to rule out less common conditions.
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No need to worry
Drink lots of water
Alkasol syp
Raciper d
Antibiotics
And Zerodal spas
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According to the complaints you have there might be a structure urethra in your case . Kindly consult a urologist .
Next Steps
Consult urologist and get your tests done with uroflowmetry . For further evaluation and management .
STD also to be ruled out by physical examination . So better consult a dermatologist too .
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Need to rule out STD
Detailed history needed.
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Can Contact for Consultation
Health Tips
Need correct course treatment for fungal infection
Rule out DM
Drink plenty of water
Dont hold urine
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You should take a consult from a urologist
Health Tips
Drink plenty of fluids
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Could be resistant chronic uti. Connect personally
Next Steps
Please connect personally to discuss the lab results you got and decide the further course of action and t
Health Tips
Drink more water, avoid urinating in open spaces or outside unclean places
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You may be suffering from complicated UTI for which normal antibiotics are resistant.
Next Steps
Do urine culture test again without antibiotics
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Get USG WHOLE ABDOMEN once.
Next Steps
Urologist consultation.
Health Tips
Stay hydrated: Drink plenty of water to help flush out bacteria.
Urinate when needed: Avoid holding urine for long periods.
Warm compresses: Apply a warm compress to the lower abdomen to soothe discomfort.
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Please check ur sugar levels.... Consulting a urologist is better
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Consult doctor ..Don’t worry
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You should visit a urologist or surgeon for the same.
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Fungal infection needs to be treated separately as that is unlikely be the cause of your pain
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I would suggest you to consult an urologist ASAP
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Consult for more
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Consult a urologist as soon as possible for further management.
Don’t ignore the pain .
Also consult a dermatologist for fungal infection in your private part .
No fungal infection persists for such a long duration if it is treated with proper drugs .
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Urologist and dermatologist Consultation is better
ultrasound pelvis and abdomen and physical examination would help you better
Next Steps
Consultation
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Pain is not due to fungal infection and these to things have to be treated seperately.
For fungal infection proper antifungal course has to be taken.
For pain during urination detailed workup is necessary .
Next Steps
Consult for further investigations and management
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Please get a sonography of the whole abdomen and consult a Urologist for further management.
Pain after passing urine should not be ignored.
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Dr. Vamshi Krishna Koppula
General Physician
5 yrs exp
Karimnagar
Consult for the Issues it would be better Option
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Dr. Siva Rama Krishna
General Physician
5 yrs exp
Hyderabad
Burning sensation after urination could be due to a number of possible reasons, including:
Urinary tract infection (UTI)
A common cause of a burning sensation after urination, UTIs are usually caused by bacteria from the body. Other symptoms include frequent urination and changes in urine color. UTIs are typically treated with antibiotics.
Kidney stones
Hard masses of minerals and salts that can form in the kidneys and move through the urinary tract. If a kidney stone reaches the tip of the urethra during urination, it can cause a burning pain.
Other conditions
Other possible causes include painful bladder syndrome, urethral stricture, prostatitis, and kidney disease.
Treatment for a burning sensation after urination depends on the underlying cause. For example, UTIs and STIs are often treated with antibiotics.
Drinking plenty of water and avoiding irritants like caffeine or spicy foods can also help.
Next Steps
Drink Plenty Water
Do get a HBA1C test
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Dr. Bijli Nanda
General Practitioner
7 yrs exp
Noida
Most likely the fungal infection is the cause
Next Steps
check blood sugar and revert
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated.
Pls have physical examination with nearby doctor and have a follow up.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please do a USG (whole abdomen) and consult further for management
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Dr. Anjali
General Physician
32 yrs exp
Noida
Consult Urologist
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Dr. Pragati Bhole
Internal Medicine
26 yrs exp
Nagpur
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Dr. Ravindran P
General Practitioner
39 yrs exp
Chennai
You are suffering from non infection with pain during urination , Consult urologist for further discussion and management . Are you married , sexual problem may sometime can have pain while passing urine .
Next Steps
consult Urologist
Health Tips
Have a nice day
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Dr. Aditya Prasad Padhy
Urologist
13 yrs exp
Bhubaneswar
Connect please
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Kindly consult with nephrology department
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Dr. Pawan Kumar Dutta
General Physician
4 yrs exp
Delhi
Get USG Whole abdomen done.
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Dr. Sachin Pariskar
Pediatrician
9 yrs exp
Pune
It's due to urinary tract infection, fungal infection
Next Steps
kindly consult once for discussion
Health Tips
take plenty lf oral intake
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Connect please
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Jaswanth Sowmya Thalathoti
General Physician
8 yrs exp
Guntur
Check blood sugars
Also check if there is any redness or rash
Health Tips
Drink plenty of fluids
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
According to your query and sign and know about the disease and cause and it's best Treatment as you have mentioned as above .
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow any medicine or advise after consultation only from a good doctor.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
please keep positive attitude to fight any disease and any problem of your life
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to inflammation
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
Once do urine cultures
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Do connect and consult
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Consultation
Next Steps
Consultation
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Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
Kindly connect.
It might be due to infection.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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