Urinary Tract Infection

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Pattern Recognition

Dysuria results from inflammation of the urethra, bladder neck or both regardless of the cause. Infection is the most common etiology. Urgency, a compelling need to urinate and sensation of impending incontinence is commonly associated with dysuria and
may imply bladder inflammation; however any distension of the bladder can also cause urgency. Frequency without increased urine volume indicates a decrease in filling capacity of the bladder. Any cause of bladder irritation, leading to an inflammatory
infiltrate and edema can lead to mild stretching and loss of elasticity of the bladder muscle and cause frequency.

A suprapubic fullness or a pressure like symptom is commonly described in patients with Urinary Tract Infections (UTI). Pelvic pain in women may also be associated with sexually transmitted disease especially pelvic inflammatory disease. An appropriate sexual history is necessary to exclude sexually transmitted disease including chlamydial and gonococcal urethritis. Back pain associated with dysuria suggests the possibility of pyelonephritis. Presence of systemic symptoms including fever, malaise arthralgia and nausea almost always indicates pyelonephritis. Their absence does not exclude it.

Dysuria, Frequency and Urgency are symptoms of UTI
Sexual history is important
Systemic symptoms indicate
pyelonephritis

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dada 

for urinary problem which doctor shall I contact Medicine or Urologist

kkgrg 

I have UTI generally recurring. Last time I had around a years back and got treated with Ofloxacin for about 15 days. Today I am suffering for very frequent urination with sensation and unable to control. Kindly suggest some medicine.

lovetoread 

First UTI in over 10 yrs. Unfortunately I've had over a month of UTI symptoms. The first two urine specimens were [ ] for blood, WBC, and bacteria but were NEVER cultured. I went through two different rounds of antibiotics. Symptoms still there. My doctors were saying obviously it isn't an UTI, that it must be stress or something else. We'll finally after suffering a month, the next urine sample WAS cultured and it came back I have coagulase negative staph. And get this, the bacteria is resistant to most antibiotics, including penicillin, Levaquin, Sulfa, and Cipro. I'm not so sure not culturing a positive urine sample is such a great idea. I know I have greatly suffered. I'm now on macrobid and hoping this will take care of it.

Anglkitty77 

I have a recalled bladder sling and I have been having recurring UTI synptoms. Nitrites and leukocytes are always present, but cultures grow nothing. I am at a loss and so is my Dr. I am seeing a specialist at Vanderbilt and he is removing the sling in a couple of weeks. Anyone else have this issue?

edouartawil 

i have found that UTIs with no symptoms should not be treated especially if they have ESBL or KPC.
A well known case ESBL to me I stoped treating her with antibiotics works now well for more than 8 months

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