What test should I do for smelly and yellow urine?

Hi,

Welcome to icliniq.com. I understand your concern. Answer the questions below for a better understanding: Is it accompanied by joint pains? Have you done urine culture and sensitivity? Have you been checked for diabetes? Left varicocele causes should be ruled out by doing complete ultrasonography of the abdomen and CT KUB (computed tomography of the kidney, ureter, and bladder). Serum PSA (prostate-specific antigen) should be checked. Gonococcal urethritis can be confirmed by urethral discharge culture. Please see Reiter's disease symptoms (condition of arthritis, conjunctivitis, and urethritis). If you feel you have any, then we can discuss further on it. Revert back with the answers to the above questions to a venereologist online. Kind regards.

Hi,

Welcome back to icliniq.com. I suggest the following: You should first do a urine culture and sensitivity and take appropriate antibiotics. Taking random antibiotics is like shooting in the dark and hoping to hit the target. Cystitis at your age is very less likely unless there is a urinary tract defect or diabetes. Try to get a CT KUB done and also HbA1c (glycated hemoglobin) done. Do a serum PSA level and check your serum creatinine, calcium, phosphorus, and urea too.

Hi,

Welcome back to icliniq.com. I saw the attached reports (attachments are hidden to protect the patient's identity). Is your HLA (human leukocyte antigen) B27 negative? I still feel you have Reiter's or Behcet's disease, but a physical examination is necessary now to move forward. For your skin infection, I suggest you apply mild topical corticosteroids. Oral immunosuppression may be needed depending upon physical evaluation. Have you taken sensitive antibiotics for your UTI (urinary tract infection)? Getting a pathergy test done could be worthwhile now. It is a simple test but has to be done by a medical professional. Hope this helps. Kind regards.

Hi,

Welcome back to icliniq.com. I understand your concern. I think you need to be physically examined by a doctor. Tests I would suggest are: Urine culture and sensitivity, human leukocyte antigen (HLA) B27, ANA (antinuclear antibody test), Pathergy test, ESR (erythrocyte sedimentation rate), CRP (C-reactive protein). Revert in case of queries. Kind regards.

Hi,

Welcome back to icliniq.com. I understand your concern. Erythrocyte sedimentation rate (ESR) of 2 mm/hr is fine. We are mainly concerned if the value was elevated. This testing mostly rules out any connective tissue disorder you have. You did not mention whether you did or not the pathergy test. It looks like you must be having an infection in your genitourinary tract. Doing a semen culture may be worthwhile, and now I would strongly suggest you physically see a doctor as e-medicine can take you to a certain extent only, but physical examination still is very important. Hope this helps. Kind regards.

Hi,

Welcome back to icliniq.com. I understand your concern. I have seen your reports (attachments are hidden to protect the patient's identity). Semen analysis was done, but culture was not done. Pathergy test is a very simple test, and any rheumatologist would do it. A small pinprick will be given, and if a vesicle or erythema develops at the site, it is called a positive pathergy test. Hope this answered your query. Regards.