Doctor, I have had persistent left spermatic-cord/scrotal pain for around 7–8 months. The pain is mainly at the back of the testicle/above the testicle along the spermatic cord, sometimes spreading toward the groin. There is also a specific tender point where the scrotum meets the body. It is present most of the time and worsens after masturbation, prolonged sitting/travel, and sleeping on my stomach or side. Standing sometimes gives relief. I previously took Duloxetine 20 mg, Gabapentin + Methylcobalamin, and Pregabalin + Methylcobalamin for around 6 months month. They reduced the pain somewhat but did not completely resolve it. I want to know whether this is nerve-related spermatic-cord pain or another cause, and whether a diagnostic spermatic-cord/nerve block or other conservative treatment would be appropriate.
I am having a burning sensation while peeing and I am going to the toilet very frequently and I am having pain in the lower abdomen left side of the belly button and pain in the back that too left side of the spine .
Kindly give me the consultation, it's urgent I cannot visit the doctor due to the flood in my area . Thank you
Dear Doctor,
I need guidance for a persistent UTI and severe vaginal discharge/odor.
Symptoms: Burning urination, sharp urethral pain, hot urine feeling, frequent urination, lower abdominal pain, sticky white discharge, and strong odor on my underwear.
History: Prescribed multiple oral antibiotic courses (Cetil, Norflox TZ, Septran DS, Nitrobest) and vaginal suppositories (Candid V3/V6, Candel V6), but symptoms have not improved.
Urine Culture Results: E. coli isolated.
Resistant to: Nitrofurantoin, Cefixime, Levofloxacin, Fosfomycin, Amoxicillin-Clavulanic acid.
Sensitive to: Meropenem, Ceftriaxone, Gentamicin, Cefoperazone-Sulbactam, Amikacin.
Questions:
Since the infection is resistant to oral antibiotics, do I need immediate IV antibiotic therapy (e.g., IV Meropenem or Ceftriaxone)?
Is the panty odor/wetness due to a concurrent vaginal infection or the resistant UTI?
What is the correct combination of IV antibiotics and vaginal treatment to resolve bot
I had uti cured , but somedays after causing burning sensation so done urine routine but no bacteria in that and 2-3 pus cells and in urine culture report significant bacteriuria
Though both tests done from same sample .
I started drinking Cranberry juice since the day given sample now my symptoms faded but urine culture report shows significant bacteriuria .
Now I am confused what to do
Going to toilet and felling to go again i have tried solafenacin and mirabegron together but no improvement so what to do
