How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Tharun Your Own Question

Dr. Tharun
Dr. Tharun, Urology Resident
Category: Urology
Satisfied Customers: 3682
Experience:  MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
8708167
Type Your Urology Question Here...
Dr. Tharun is online now

My daughter aged 24 has had 6 severe bouts of cystitis in six

Resolved Question:

My daughter aged 24 has had 6 severe bouts of cystitis in six months. The last four have involved passing blood. We are rapidly coming to the conclusion that this is by no menas a standard UTI - the usual symptoms do not apply. There is extreme pain and urgency to pass water, sweats and a fluctuating temperature, plus the passing of blood. The most recent bout hit her very quickly and the symptoms were so extreme that she had to go to A & E yesterday and has been prescribed a 7 day course of anti-biotics, but I believe the infection (if indeed there is one - the last three tests have come back negative) is a smoke screen for something more serious. She also had diarrhoea as well. Her whole system seems to be under strain and I am worried about her kidneys. There seems to be a failure to diagnose this problem correctly and it is getting more severe with each attack. Please can you advise?
Submitted: 1 year ago.
Category: Urology
Expert:  Dr. Tharun replied 1 year ago.

HI

Have she undergone an abdominal scan of the kidneys and the bladder ?

How is her urine flow otherwise ?

Any childhood urinary infections ?

Have you checked for diabetes ?

was an urine culture done ?

Has she seen an urologist yet ?

Does antibiotic help ?

Please let me know.

Dr.Tharun

Customer: replied 1 year ago.

No she has not had any scan - I think that would be the next step.

The urine flow is normal as far as I am aware, but quite heavy and frequent because she is drinking exta water.

She did not sufffer from UTI's when she was a child.

No check for diabetes - she is not over-weight quite the opposite, although I know that is not necessarily an indicator.

The GP has sent samples off to the path lab and the last three have come back negative - certainly recently.

Anti-biotics do seem to have an effect, but only temporary - she is getting this problem about once a month.

She has not seen a urologist.

Expert:  Dr. Tharun replied 1 year ago.
HI
There could be various reasons why she is getting these repeated infections.
It could be undetected diabetes, stone or some obstruction in the urinary system.
Residual urine in the bladder can be a source of infection sometimes. Reflex of the urine from the bladder into the kidneys can be a cause in young females.
Growths in the kidneys or the bladder also can cause frequent UTI as well as bleeds.
So you should start with seeing an urologist who can recommend all the tests to rule out above mentioned conditions.
If all tests come negative then a cystoscopy can be done, which is seeing inside the bladder with a camera.
Lastly she can be put on continuous antibiotic prophylaxis to prevent future infection if no root cause is found.
If you have any doubts or questions , please let me know.
Dr.Tharun
Dr. Tharun, Urology Resident
Category: Urology
Satisfied Customers: 3682
Experience: MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
Dr. Tharun and other Urology Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Y.

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/lyeung1/2010-07-25_032152_tn_IMG_0241.JPG Dr. Y.'s Avatar

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
  • http://ww2.justanswer.com/uploads/TH/tharun/2013-12-28_0129_tailoredfitsuits.64x64.jpg Dr. Tharun's Avatar

    Dr. Tharun

    Urology Resident

    Satisfied Customers:

    614
    MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
  • /img/opt/shirt.png Dr. B's Avatar

    Dr. B

    Urologist

    Satisfied Customers:

    62
    Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    277
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University