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Forum Name: Urology Topics

Question: Problem since 3 months please help!


 harryn - Sun Dec 10, 2006 11:36 pm

Hi,

Have multiple symptoms but this looks the correct forum to post my query.

It started three months ago,
It was just nausea at first
I then noticed pain in the lower abdomen (2 inches below the navel more towards the right).
I had to run to the toilet everytime for bowel movement minutes after eating and also had burning with urination.
Irregular bowel movements - around 10-12 times a day, COncentrated urine
I was referred to a gastroenterologist
Tests showed no WBC in urine, and no pathogens in blood,
Got a CT scan done to look for kidney stones and other masses,
Came back perfect.
ONLY THING OBSERVED WAS MICROSCOPIC HEMATURIA.

The symptoms continued, I now had more pain with sitting for a long time,
My doctor checked for a hernia, not present was what he said.
Got a stool test done for parasites - none
Small bowel series - Came back good.
And finally a colonoscopy, Found an inflamatorry polyp(confirmed on biopsy results).
No other abnormalities at all.

Overall no clinical evidence at all of anything

Diagnosed as irritable bowel syndrome.

Over the next month my bowel symptoms got better.
But the pain in the lower abdomen (constant gnawing pain), burning with urination and nausea still persisted.

Got sent to a urologist ,
Again only blood in urine is what he saw.
Got another CT(without contrast this time)


No stones.
No calcified veins- nothing.

Went through a painful cystoscopy,
After which I felt like I was urinating with broken glass in my urethra.

Bladder looked fine,
Prostrate checked, No inflammation.

Could be INTERSTITIAL CYSTITIS was what I was told.

The urologist again kept doing tests for blood in urine,
Last week there was no blood in urine anymore,

But the pain in the lower abdomen is still present,
the burning with urination is not going anywhere.
Nausea persists.

Pain (burning in urethra)with masturbation too.
No discharge.

Am not sexually active.(No oral/intercourse)
kissing is the only thing I do with my girl friend.
Got 2/3 Lap dances in the past- I was fully clothed.- No contact in any way with primary sexual orans.
Other than that - Have been doing a bit of weights.

Please help me.
I am running out of options.

The symptoms still present are:

Burning with urination/ejaculation - persists after that too almost constantly.
Constant gnawing Pain in lower abdomen,
Constant NAUSEA- never goes down.
Microscopic hematuria at times.(latest sample had none though)
Pain in the right thigh.

Another observation is that the burning increases with physical activity,
Urine also turns brown after physical activity like cycling etc.

By profession I'm a software engineer.
Also was an extremely active athlete,
this problem is really frustrating,
my job, social life and my daily life are going to the dogs.

Please help.
 Dr. Tamer Fouad - Mon Dec 11, 2006 12:36 pm

User avatar Hello,

Interstitial cystitis is a diagnosis of exclusion. That is precisely what your doctor did by excluding the presence of infection, stones and cancer.

You should now discuss with him the various treatments available for this condition. These include drugs such as pentosan, NSAIDs, antihistamines, tricyclic antidepressants as well as neuromodulation or the instillation of certain medications in the bladder such as DMSO.

Best regards,

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