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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29077
Experience:  MD
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I've been having a problem when urinating. I'm feeling the

Resolved Question:

I've been having a problem when urinating. I'm feeling the need to go pretty much all the time and get a burning feeling in my penis when I don't go, and when I do eventually go. This feeling hasn't gone away for a few days now and it's pretty depressing. I had this problem a year or so ago, and it seemed to fade away but it has returned now.
I have been diagnosed with IBS and suffer with that regularly, could that be playing a part?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

IBS can definitely play a part with your symptms.

Dr Basu :

However, there is another strong possibility.

Dr Basu :

That is chronic prostate gland infection or prostatitis.

Dr Basu :

Prostate gland infection will cause burning during urination and also at the tip of penis.

Dr Basu :

Treatment requires antibiotic ciprofloxacin 500 mg twice daily for 21 days.

Dr Basu :

Long course of antibiotic makes sure all infection cleared up.

Dr Basu :

Symptoms often subside at the end of treatment.

Dr Basu :

Prostate infection may not be detectable with routine urine tests.

Dr Basu :

So we still treat with antibiotic even if urine test is negative.

Dr Basu :

Please discuss this option with your doctor.

Dr Basu :

Best wishes,

JACUSTOMER-0vaffakh- :

Hello, thanks for your response! If these symptoms were related to my IBS, how would that affect things?

Dr Basu :

In that case, at least this is not serious.

Dr Basu :

The treatment is supportive focused at calming down the nerves at the genital region.

Dr Basu :

Amitriptylline is commonly prescribed at 25 mg daily at bedtime.

JACUSTOMER-0vaffakh- :

I remember being given amitriptyline when I first started having my symptoms of IBS. The fact that I'm feeling the need to go all the time, and then having to force the urine out when I go, does that still suggest one of the first 2 first options you gave?

Dr Basu :

yes that suggests more likely prostate gland infection.

Dr Basu :

and that is why this should be addressed before assuming IBS related.

JACUSTOMER-0vaffakh- :

Ok, I've had these symptoms before and they just subsided on their own, is that possible?

Dr Basu :

that is also possible

JACUSTOMER-0vaffakh- :

How would I get such an infection?

Dr Basu :

usually it comes through the urinary tract

JACUSTOMER-0vaffakh- :

Could the fact that I drink a large amount of sugary drinks play a part?

Dr Basu :

yes it does

Dr Basu :

sugar causes frequent urination andalso can irritate the blader,

Dr Basu :

also get checked for diabetes.

JACUSTOMER-0vaffakh- :

Yes I've been tested for diabetes multiple times now, which was negative each time

Dr Basu :

good

Dr Basu :

then try to reduce carbs

Dr Basu :

and consider treatmetn for prostate infection.

JACUSTOMER-0vaffakh- :

Definitely, I'm abroad at the moment so was hoping to avoid a visit to the doctors but I think I'll have to go.

Dr Basu :

yes you should.

Dr Basu :

this is a simple treatment.

JACUSTOMER-0vaffakh- :

So there's nothing more serious than could be causing these symptoms?

Dr Basu :

nothing serious

JACUSTOMER-0vaffakh- :

Ok that's good. Could I also ask advice about this ibs that I deal with?

Dr Basu :

A good diet is important.

Dr Basu :

void caffeine, alcohol and of ourse cut down carbs.

Dr Basu :

not more than 40 grams carb in a day

Dr Basu :

Gluten free and lactose free diet also helpful along with.

Dr Basu :

Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.
Also take a probiotic ( lactobacilli, bifidobacterium) daily.

JACUSTOMER-0vaffakh- :

Ok thanks, ***** ***** suffer a hell of a lot with indigestion that I assume is related with my IBS

Dr Basu :

correct

JACUSTOMER-0vaffakh- :

I've tried to avoid this with my diet and eating food slower, including more exercise daily and I'm also in ranitidine and lansoprazole for this at the moment. I still find though I'm getting indigestion often after eating anything

Dr Basu :

I think you will benefit from a digestive enzyme supplement.

Dr Basu :

they are available over the counter.

Dr Basu :

take with each meal.

Dr Basu :

Puritan is one such brand

JACUSTOMER-0vaffakh- :

Great thanks, ***** ***** it likely that this fairly constant indigestion would be pointing to anything more serious?

Dr Basu :

unlikely

Dr Basu :

however, an abdominal ultrasound can be done to rule out any gallbladder problem.

Dr Basu :

Gallbladder is important organ for food digestion.

Dr Basu :

so any gallstone obstructing the bloo flow can also cause indigestion.

Dr Basu :

that should be checked.

JACUSTOMER-0vaffakh- :

Ok good, I've had that scan about a year ago when I was tested originally for my urinary and stomach problems

Dr Basu :

ok

Dr Basu :

that is good

JACUSTOMER-0vaffakh- :

Great thanks, ***** ***** unsure about what to do in regards ***** ***** issues for a while. Doctors seem to refer me here, there and everywhere

Dr Basu :

you just need to follow what we discussed above.

Dr Basu :

you should do well.

Dr Basu :

Best wishes,

JACUSTOMER-0vaffakh- :

Just one last thing, I've looked at my indigestion symptoms multiple times on the internet. Would it be possible that I could have a hiatus hernia or is that unlikely?

Dr Basu :

Hiatus herni should have been detectedin CT scan.

Dr Basu :

but this is still possible.

Dr Basu :

but it will be small in size and should not cause that much symptoms.

JACUSTOMER-0vaffakh- :

Ah ok, I'm pretty sure I've had a ct scan too! Would there be any other symptoms with a hiatus hernia?

Dr Basu :

epigastric pain, acid reflux.

Dr Basu :

nothing else

JACUSTOMER-0vaffakh- :

I do seem to get the pain obviously with indigestion, and acid reflux is a problem I have as often as indigestion

Dr Basu :

ok

Dr Basu :

then you can consider anotherscan for hiatal hernia.

Dr Basu :

but my guess, this may not be the issue.

JACUSTOMER-0vaffakh- :

Ok thanks!

JACUSTOMER-0vaffakh- :

I'd rather hoped a hernia was not the issue, as most things do point to the annoyingness of my IBS!

Dr Basu :

correct

Dr Basu :

Best wishes,

JACUSTOMER-0vaffakh- :

Thanks for your time and help!

JACUSTOMER-0vaffakh- :

Thanks again, have a good evening!

Dr Basu and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

Hi,

I have been to see a doctor who gave me ciprofloxacin or something like that...for a UTI. However this has made no difference in the need to urinate, however I have a few new symptoms. I have a constant burning pain at the tip of my penis and am needing to urinate at every point of the day. I have noticed that the side of the tip of my penis is a little discoloured and is almost black, this is where I'm having the sharp stinging/burning pain.

I also feel as though I'm never emptying my bladder at any time, and when it feels as though each time I urinate or go to urinate, the burning pain seems to follow the urine...so when I do go to the toilet to empty my bladder, the burning pain is painful. I've recently been on medication for a UTI for the constant need to urinate and the burning but this has had no effect, and this almost stabbing pain in the side of my penis is new.

Not sure what I could should do now!

Expert:  Dr Basu replied 2 years ago.

Your next step will be to consult with a urologist. A cystoscopy should be considered to check out the urethra and bladder for any lesions. If cystoscopy is normal, then this can be treated as chronic prostatitis. Interstitial cystitis is another strong possibility.

Infection is not the only cause.

Hormones, stress also can cause inflammation of bladder or prostate.

A urologist will be to care for this issue better.

Best wishes

Customer: replied 2 years ago.

Hi,

What's the process of a cystoscopy? Also how would you suggest the best and quickest way would be to see a urologist?

Expert:  Dr Basu replied 2 years ago.
Please go to this link for more information on cystoscopy:
http://www.mayoclinic.org/tests-procedures/seocystoscopy/basics/definition/prc-20013535
You will need to discuss with your Gp for a referral to the specialist.
Or consider paying out of pocket for a private urologist visit.
Best wishes
Customer: replied 2 years ago.

Ok no worries, I'll go and visit my regular GP as soon as I'm home. Is there anything serious I should bother about with these symptoms? Or any reason I should see my GP immediately other than relieving the symptoms?


 


The cystoscopy looks incredibly uncomfortable. How would chronic prostatitis or Interstitial cystitis be treated?

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