Dr. Geetha Priyadarsini Kamminana
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 33-year-old male. I have problems in my private parts. Sometimes, I have slight numbness, slight pain in testis with coldness. But all this sensation does not last long. There is mild fever with tiredness and fatigue. Sometimes, I sense something inside my urethra while urinating. It is not there always. So, I went to a doctor a month ago. He suggested me to get a urine culture and sensitivity test. I got the test report after four days.
The report shows E. coli infection. Currently, I am on Ciprofloxacin and disodium hydrogen citrate for the last seven days but to no avail. Kindly suggest the ways and means how to get rid of this E. coli infection. I have had an ultrasound twice, blood tests, twice urine tests, X-ray and done a urine culture and sensitivity test, and a physical examination of the private parts was also done. But lastly, the urine culture and sensitivity test had detected infection of E. coli. Please help.
Hello,
Welcome to icliniq.com.
Well, the treatment is apt according to the drug sensitivity report (attachment removed to protect the patient's identity). The drug would have already started showing its effect by now that is within 48 hours after initiation if you have started. Kindly continue the medication. Drink lots and lots of water and liquids. Cranberry juice will help fight the UTI (urinary tract infection). Get back to me if you still have an increase in the frequency of urination, urgency, burning pain while passing urine, abdominal pain, and fever.
Patient's Query
Thank you doctor,
Is E. coli (Escherichia coli) a dangerous infection? Is it curable? Will the current medications help me?
Hello,
Welcome back to icliniq.com.
Yes, of course, it is absolutely curable. Do not worry about it.
You need to follow the course, drink a good amount of water, and maintain good genital hygiene.
Patient's Query
Thank you doctor,
I finished the medicine today. I took the course of Ciprofloxacin and Disodium citrate for ten days. Shall I continue the same medicines, or will you prescribe me another medicine?
Hello,
Welcome back to icliniq.com.
How are you? Have your symptoms gone?
Do you still have any discomfort?
If you are fine and all your symptoms have subsided, you need no further course of medicines.
Patient's Query
Thank you doctor,
Mild pain in the abdomen area is still there. The exact location is the pubic area. Whenever I go to urinate, there is an uncontrollable urgency. Sometimes, I feel something is there in the urethra. I always feel the infection is in the urethra.
Hello,
Welcome back to icliniq.com.
Ten days of antibiotic course should have killed the bug by now.
I need to know the following
If you have none of the above symptoms, you do not need to continue the medications. You need to drink plenty of liquids, cranberry juice, lemon water, buttermilk, and barley water.
Avoid sex as well as masturbation.
You need to wait for three to five days for the body to heal. If you have any of the above symptoms, get back to me.
Patient's Query
Thank you doctor,
Yes, I had sexual intercourse four months ago. But, I had tested for STD like VDRL twice and HIV once and the result was negative. The doctor had done a physical examination of my genitals. But could not find anything serious. I feel discomfort in my privates part. If you doubt anything then please advice me so that I can go for another test.
Hello,
Welcome back to icliniq.com.
Patient's Query
Thank you doctor,
There is no pain during ejaculation. Yes, I do have a mild fever and fatigue. There is no pain in the perineal region and no difficulty in emptying the bladder. But, I have a mild burning sensation in the penis and sometimes it becomes numb for a short while. What should I do?
Hello,
Welcome back to icliniq.com.
Well, I would suggest you drink more and more of liquids. You need to avoid sex for some time. Continue the syrup that you are using for one more week. I suggest you take tablet Paracetamol 650 mg when the fever recurs. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to wait for one more week and get the urine culture and sensitivity done and get back to me. Meanwhile, if your symptoms progress, you need to revert for a further action.
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Internal Medicine
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