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I keep having UTI infections... Burning...yellow. Pressure.

Customer Question
I keep having UTI...

I keep having UTI infections...

Doctor's Assistant: Any pain or burning sensation while urinating? What color is your urine?

Burning...yellow

Doctor's Assistant: How long have you been dealing with the burning? Are you experiencing any other discomfort?

Pressure

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I also end up with diarreha

Submitted: 5 months ago.Category: Urology
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Answered in 11 minutes by:
11/20/2017
Urologist: Dr. Arun Phophalia, Urologist replied 5 months ago
Dr. Arun Phophalia
Category: Urology
Satisfied Customers: 37,774
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Urologist: Dr. Arun Phophalia, Urologist replied 5 months ago

What is your age and gender?

What are the investigations done?

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Urologist: Dr. Arun Phophalia, Urologist replied 4 months ago

Following approach for the chronic / recurrent urinary tract infection may be helpful;

1) An estimation of residual urine. This is done by an ultrasound examination. An ultrasound is done with full bladder. Then you are asked to void and ultrasound is repeated. If there is a residual urine amount more than 50 ml; that is considered as significant amount. An high residual urine in bladder will not let the UTI eradicated. In a high residual urine following investigations would be done;

a) CMG (cystometrography); this tells about the bladder muscle and sphincter functions. A problem in these would not let the bladder empty properly and thus the recurrent UTI.

b) Pelvic floor EMG; tells about the pelvic muscle dysfunctions and help in above.

These will need medications to improve bladder emptying.

2) Medications which alter urinary pH helps in eradicating the recurrent or chronic UTI with the antibiotics.

3) Culture for the mycobacterium; this if grown will need different kind of medication regime specifically for the mycobacterium bacteria which do not respond to the antibiotics.

4) Gynecological examination; to see for the major cystocele (bladder prolapse). This also predisposes for the recurrent UTI.

5) If above do no help the other investigation contemplated are;

a) Cystoscopy; camera exam to look for bladder diverticulum or any other abnormality.

b) MR urography (magnetic resonance urography to look for infective nidus elsewhere in the urinary tract).

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Urologist: Dr. Arun Phophalia, Urologist replied 4 months ago

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