Dr. Khant Shahil Ramesh Bhai
Urology
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 am experiencing a burning sensation before and after urination; sometimes I see the light pink colored blood in the urine. From the past seven days, I am having a lot of discomforts, even while sitting idle or sleeping there are a constant burning and pain in my genitals, and I urinate frequently. I also have an itching anus and mild pain in the right lower back. I was diagnosed with a brain AVM seizure 15 years back. I get seizures sometimes for two minutes in a month. I take Encorate Chrono 300, Sodium valproate 200 mg and Valproic acid 87 mg. Five years back they found kidney stones, about 5 to 6 mm in size. But now, my USG reports show no stones. I will attach my test reports. Please suggest what to do.
Hi,
Welcome to icliniq.com.
I have gone through your reports (attachment removed to protect patient identity). Your urine examination shows blood, so we need to find the source of blood in the urine. And, pain on urination might be due to narrowing of the urethra (urethral stricture). I would suggest you get the test done, which are, CT urography to check the source of blood, uroflowmetry, and retrograde urethrogram to check urethral stricture. For the time being, I suggest you try taking tablet Flavospas (Flavoxate 200 mg), one tablet in the morning, afternoon and evening. Consult your specialist doctor, discuss with him or her and start the medication with their consent.
Patient's Query
Hello doctor,
Thank you for the prompt reply. I started taking Flavospas and also got a CT KUB done. The reports show 0.27 inch radiodense calculus in the right VUJ. Please advice what should I do now.
Hi,
Welcome back to icliniq.com.
All your symptoms are due to the kidney stone, which is stuck in the VUJ (vesicoureteric junction). You can wait for two weeks to see if it passes on its own. I suggest you tablet Solitral (Alfuzosin 10 mg and Solifenacin succinate 5 mg), one tablet every night. Consult your specialist doctor, discuss with him or her and start the medication with their consent. Blood in the urine (hematuria) is also due to this stone. If the stone does not come out even after two weeks or your symptoms become unbearable, or if you have a fever, then you will require to remove it by endoscopy.
Patient's Query
Thank you doctor for the reply,
Should i continue both the medicines you suggested for two weeks? Can you suggest What to eat and what to avoid? For endoscopy in worst case ? Where do u recommend? at your place?
hello yes continue both medicines for 15 days. there is no restrictions on food. drink plenty of water upto 3 litres per day. hope you dont require endoscopy . if required you can get it done at good corporate hospital in your city. thanks.
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Urology
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