Hello,
I am Dr. Romain Rajan, General Physician.
I understand your concern.
â¡ï¸ Recurrent UTI, prostatitis, and repeated antibiotic use can disturb the normal gut and urinary flora, weaken immunity, and cause persistent burning or discomfort even without active infection.
General Advice:
Stay well hydrated (2â3 L/day) and urinate frequently.
Take probiotic-rich foods (curd, buttermilk) or prescribed probiotic capsules to restore normal gut bacteria.
Avoid unnecessary or repeated antibiotics without urine culture guidance.
Maintain good bowel habits â constipation can worsen bladder/prostate symptoms.
What to monitor:
Burning during urination vs. burning while sitting/idle (latter often seen in chronic prostatitis/nerve hypersensitivity).
Fever, chills, back pain (signs of active infection).
Any new blood in urine, weight loss, or severe fatigue.
Medicines:
Chronic prostatitis often needs a long course of targeted antibiotics (4â6 weeks) guided strictly by urine culture.
For nerve/muscle burning, your doctor may add nerve-modulating medicines (e.g.,
vitamin B12, gabapentin/pregabalin).
Probiotics +
vitamin D + B-complex can help restore gut flora and immunity.
Resistance is not always permanent; but each infection can be caused by a different bacteria, hence cultures are essential.
When to consult a doctor immediately:
High fever with chills.
Inability to pass urine.
Severe pain or blood in urine.
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Summary:
Your high WBC count suggests ongoing inflammation/infection, but since blood culture is negative, the source is likely local (bladder or prostate). Burning without urination is often linked to chronic prostatitis or nerve sensitivity, not just UTI. Repeated antibiotics alone wonât solve this â a urologistâs review + urine culture-based treatment + supportive care for nerves/immunity is needed.
You can connect with me directly on Practo or reach me on WhatsApp (85271646 seven seven) for a more personalized consultation.
Best regards,
Dr. Romain Rajan
General Physician