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Dr.Sumanth, Doctor (MD)
Category: Medical
Satisfied Customers: 20108
Experience:  Consultant Pediatrician at Kanchi Kamakoti CHILDS Trust Hospital
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I don’t know if I have a water infection or not or something

Customer Question

I don’t know if I have a water infection or not or something else, been getting a little weird pain near my bladder and feeling like I still need to pee after I’ve pee’d. been getting a little achy feeling near my testicle as-well. I woke up this morning needing the urge to pee so bad with my bladder hurting even though I went before bed last night.
Submitted: 10 days ago.
Category: Medical
Expert:  Dr.Sumanth replied 10 days ago.
Hi,Welcome to JustAnswer. I'm Dr. Sumanth. I've 17years of experience in the field of Medicine. I'm currently reviewing your query, be back ASAP.
Expert:  Dr.Sumanth replied 10 days ago.

Hello... I understand your concern. I need some more information please.

  1. May I know your age and gender please?
  2. Did this start after any unprotected sexual activity?
  3. How long have you had this symptom?
  4. Is it like - you have the urge to urinate, but, when you go to urinate - very little comes out and you still have the urge to urinate?
  5. Are you running any temperature?
  6. Is there any blood in the the urine?
  7. Is there any personal or family history of renal stones please?
  8. Have you undergone any procedure in the pelvis in the recent past and if so when?
  9. Are you a diabetic or hypertensive?
  10. Is the pain always consistent with urination please?
Please get back to me with the above information so that I can guide you better.
Kind regards ***** ***** Sumanth Amperayani

Customer: replied 10 days ago.
1. 25 male
2. I had sex with my girlfriend of 6 years last week and haven’t had it since
3. Over the last week or so
4. I need a wee and after I’ve been I’ll still feel like I need to go after
5. No temperature
6. No blood or pain
7. No
9. No
10. No pain when urinating at all
Expert:  Dr.Sumanth replied 10 days ago.

Hi...I am sorry for your symptoms.
I feel that you may be going through a hemorrhagic cystitis.
Urinary tract infections (UTIs) happen when bacteria get into the urethra and travel up into the bladder.If the infection stays just in the bladder, it is a called a bladder infection, or "simple cystitis." If the infection travels up past the bladder and into the kidneys, it is called a kidney infection, or "pyelonephritis." Bladder and kidney infections are both types of UTI.
Factors that increase the risk of developing a UTI include:

  • Having sex frequently
  • Having diabetes
  • Having a bladder or kidney infection in the past 12 months
  • Using a spermicide for birth control
  • For men, not being circumcised or having insertive anal sex

In men and women, having a condition (such as kidney stones or ureteral reflux) that blocks or changes the flow of urine in the kidneys increases the risk of a kidney infection.
The typical symptoms of a bladder infection include:
  1. Pain or burning when urinating
  2. Frequent need to urinate
  3. Urgent need to urinate
  4. Blood in the urine
  5. Discomfort in the lower abdomen
Coming to the management part -
In young, healthy adolescents and women with a bladder infection, the usual treatment includes a course of antibiotics. The typical drug options are Nitrofurantoin or Bactrim or Fosfomycin single dose or 5 days to 10 days course.
In men, the same antibiotics can be used as long as there is no concern about early involvement of the prostate gland. Treatment is usually given for a slightly longer duration in men...up to 10 - 14 days depending on the prostate involvement suspicion.
If a urine culture has been performed and is negative for infection, other causes of pain, burning, and frequency should be considered. However, some urinary tract infections (UTIs) are caused by small amounts of bacteria that may not be detected on a typical urine culture. Therefore, in some cases your provider may choose to continue you on antibiotics even if the culture comes back negative.
May I suggest you discuss these possibilities with your PCP or urologist and get yourself appropriately evaluated and managed please.
I sincerely ***** ***** I have helped you today!
Is there anything else where I can be of assistance to you in this regard please. We can continue here until you are satisfied, simply use the reply box and let me know.
Kind regards ***** ***** Sumanth Amperayani

Customer: replied 10 days ago.
you think I have a UTI?
Expert:  Dr.Sumanth replied 10 days ago.

Yes please cystitis.

Customer: replied 10 days ago.
Is this bad?
Customer: replied 10 days ago.
What would I need? Antibiotics?
Expert:  Dr.Sumanth replied 10 days ago.

NO it is not bad and yes antibiotics are indicated and I have mentioned them above too.

Customer: replied 10 days ago.
will it clear through antibiotics? 100% mot kidney stones or anything like that?
Customer: replied 10 days ago.
Expert:  Dr.Sumanth replied 10 days ago.

Does not sound like kidney stones from history please.

Customer: replied 10 days ago.
Would I be in more pain?
Expert:  Dr.Sumanth replied 10 days ago.

Yes and you will be running to ER for pain relief.

Customer: replied 10 days ago.
Okay, just kidney stones scare the hell outta me
Customer: replied 10 days ago.
Maybe I should call my local GP then?
Expert:  Dr.Sumanth replied 10 days ago.
This does not sound like kidney stones and yes you need your GP for prescription of antibiotics.
Customer: replied 10 days ago.
Okay thanks, ***** ***** the weird ache going to my testicle? Can a uti cause this?
Expert:  Dr.Sumanth replied 10 days ago.

No but referred pain from bladder can cause that.

Customer: replied 10 days ago.
Oh so the pain in my bladder can cause pain in my testicle ?
Expert:  Dr.Sumanth replied 10 days ago.