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DrThomasMd, Board certified internist
Category: Urology
Satisfied Customers: 63757
Experience:  In internal medicine we deal with prostate, bladder and kidney diseases, including cancers.
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I am a 46-year-old monogamous male. I have been having

Customer Question

I am a 46-year-old monogamous male. I have been having dysuria, increased frequency, increased urgency, and severe bladder spasms. This has been going on for several months now, though it has waxed and waned, typically only bothering me if I didn't drink enough water. Recently, my urine begin to smell bad. I bought a urine dipstick at Walgreens this weekend and it said I have a high level of leukocytes and a high level of nitrates in my urine.
Submitted: 6 months ago.
Category: Urology
Customer: replied 6 months ago.
What is differential diagnosis?
Expert:  DrThomasMd replied 6 months ago.


chronic prostatitis

urinary track infection

The former is much more likely

You need a urine culture after a prostate exam.

I would see a urologist if you can get to one fast enough, or an internist.

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