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Burning urine
I m having burning and pain while urination and also urge to go everytime with lower abdomen pain .please guide me how do I get relief
I have some problems that i can't swallow tablets
.I consulted many doctors but they gave tablets that too extended release type .
Ultrasound is normal...
In urine culture ,few pus cells seen but no growth .m
Why it's happening ..pls help to overcome
Answers (7)
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Your symptoms of burning urination, urgency, and lower abdominal pain along with "pus cells but no growth" point toward sterile pyuria or urethritis rather than a typical bacterial bladder infection.
When a standard 48-hour culture shows no growth despite persistent lower urinary tract symptoms, common culprits include fastidious organisms (like Ureaplasma or Chlamydia), chemical irritation, or pelvic floor muscle spasm.
Furthermore, your inability to swallow tablets explains why previous therapies failed, as extended-release tablets cannot be crushed without destroying their mechanism.
Next Steps
Increase your fluid intake immediately with 2.5 to 3 liters of water daily, and consider a urine alkalinizer syrup (like disodium hydrogen citrate) to quickly relieve burning sensations.
Please book an online consultation with me so we can evaluate non-tablet antibiotic options and test specifically for organisms that do not grow on routine cultures.
Health Tips
Never chew, crush, or break extended-release (ER/XR) tablets, as doing so delivers the entire dose at once, which causes severe gastric irritation and drug toxicity.
Avoid bladder irritants such as coffee, strong tea, carbonated drinks, citrus juices, and spicy foods until your urinary tract fully recovers.
Seek immediate physical emergency care if you experience a high fever with chills, severe one-sided lower back (flank) pain, or blood in your urine.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Your symptoms can be due to a urinary infection, but âno growthâ may occur if the sample was taken after antibiotics or was not a clean-catch sample.
Please repeat urine routine and culture with a midstream clean-catch sample before taking more antibiotics. Vaginal infection can also cause burning, especially with discharge or itching.
Seek urgent care if you develop fever, vomiting, flank pain or blood in urine. You can book a Practo consult with me or visit Synergy Multispeciality Hospital, Miraj for examination and proper treatment.
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Your urine culture shows a few pus cells but no bacterial growth. Along with your ongoing burning and urgency, this points to a pattern doctors sometimes call sterile pyuria. It means a standard culture alone may not tell the full story.
Next Steps
Since swallowing tablets is hard for you and symptoms are persisting, please see your doctor in person to discuss repeat testing or a different treatment approach.
Health Tips
Please don't stop or change your treatment on your own, and come back for review sooner if symptoms worsen.
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Mr. Mehta Yajus Kamleshbhai
General Physician
Bhavnagar
Seems that you're suffering from urinary tract infection which needs to be treated for sure.
If there is fever and related symptoms then it also needs attention
At the same time some changes in your hygiene practice and if it's frequent with you then working on your immunity will also help.
Next Steps
as you're having difficulty in swallowing you should take Dispersive Antibiotics and related medications according to your history.
If you're expecting instant relief then initially IV medications are good to go treatment.
Health Tips
Drink plenty of water throughout the day.
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Dr. Hemant Kumar
General Physician
1 yrs exp
Delhi
Your symptoms—burning urination, frequent/urgent urination and lower abdominal discomfort—are suggestive of lower urinary-tract irritation/UTI, but the negative urine culture means a bacterial UTI is not confirmed. A few pus cells can occur with a partially treated UTI or sterile pyuria.
Next Steps
Repeat urine routine microscopy + urine culture with a properly collected midstream sample, preferably before antibiotics.
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Dr. Akansha Jaiswal
General Physician
1 yrs exp
Lucknow
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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