Re: UROGYNECOLOGY: Painful Urination -- Not a UTI or other infection?
From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Mon, 20 Jul 2009 21:44:42 -0500 (CDT)
Message posted on Amy Rosenman, M.D. behalf by: Hope Waltman, Women’s
Health Forum Moderator
This is so acute in onset I recommend you repeat the culture and
empirically try treatment for a UTI. If this is not successful,
cystoscopy may be required by a urogynecologist or a urologist familiar
with pain of bladder origin or interstitital cystitis.
--
Amy E. Rosenman, MD
Gynecology and Pelvic Reconstructive Surgery UCLA
Assistant Clinical Professor GYN
Geffen School of Medicine at UCLA
Santa Monica, California
http://www.obgyn.net/meet.asp?page=/all_advisors/A_Rosenman
Note: Opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
** Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
At Mon, 20 Jul 2009, Cheri wrote:
>
>About 10 days ago I contracted the classic symptoms of a UTI. I
>attempted to treat it with cranberry capsules and azo (which had a
>"bonus" OTC test strip in it which turned purple for leukocytes in an
>instant but nothing for the nitrates) but it has gotten progressively
>worse. I went to see a doctor and was told that I tested negative for a
>UTI. They also did an STD screening which was negative as well. At
>that point I even thought I could be crazy and the doctor sent me on my
>way. Today the pain is almost unbearable. I can't walk completely
>upright, I pee a little while walking sometimes because it burns so much
>I lose control of the muscle that holds it in, i'm so physically
>exhausted I can barely stay awake during the day and i'm a person that
>usually wakes up and runs every morning. I do have a history of
>endometriosis. What should I do next? I know it's not an infection but
>I can't take this pain and fatigue anymore.
>
>Thank you!