Dr. N. Ashok Viswanath
Infectious Diseases
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
Hi doctor,
I believe I have an infection in my reproductive tract. I have seen multiple urologists, and all of them have told me nothing is wrong. I refuse to believe that because of the pain in my testicles. I wish to speak with someone who has experience in microbiology because I have even cultured my own urine samples with positive results. I need help.
Hello,
Welcome to icliniq.com.
I understand your query.
You can opt for other investigations like ultrasound scrotum and semen culture.
Investigations to be done
Treatment plan
Regarding follow up
Patient's Query
Hi doctor,
I have had a couple of ultrasounds and an MRI performed previously, but my doctors have told me there has been nothing coming up in imaging, and I do not have access to the images. As far as the semen sample, I plan on asking for one, but my urologist appointment will not be there for at least more than three months. I am currently trying to contact a microbiologist because I just do not believe the labs have performed my urine cultures properly anyway. I have an MS in molecular biology, so I am hoping to gain access to a facility where I can attempt my own sample cultures.
Thank you for the follow-up.
Hello,
Welcome back to icliniq.com.
When it comes to urine culture, it cannot pick up all the organisms in the culture, causing infection. There are some organisms called non-culturable bacteria like mycoplasma, ureaplasma, viable but non-culturable uropathogens. My advice for you in this situation will be drinking 2 to 3 liters of water per day, drinking cranberry juice often, taking an empiric antimicrobial (Tablet Azithromycin 500 mg - one tablet daily for five days - morning or night).
The Probable causes
Investigations to be done
Differential diagnosis
Treatment plan
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Infectious Diseases
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