Recently Answered Questions
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Query: Hello doctor, I have three months of bilateral dull testis pain that comes and goes. Also, occasional pelvic pain. I had testis ultrasounds twice, and both only showed a small varicocele on the left. No abnormalities. I did a health screen that included a whole-body MRI. This shows a “small volume... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. You have prostatitis, which can be bacterial or abacterial also. Usually, we treat with antibiotics and anti-inflammatory medications in addition to alpha-blockers for a month. Testicular pain can be secondary or less ... Read Full »
I have been diagnosed with UTI with pain in the tip of the penis. What should I do?
Query: Hello doctor, Two months back, my doctor diagnosed me with UTI. I had symptoms such as frequent urge to urinate and pain in the penis while having intercourse. I was prescribed Orelox 200 mg, Canesten cream, Luliconazole and Mupirocin cream. It got better after that, but the pain has returned. Last... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. This seems to be prostatitis. It can be caused by sexual contact mostly. And treatment is with long-term antibiotics and alpha-blockers. I suggest you consult a specialist and take the following medicines with his or her consent. Tablet Ciprofloxacin 500 mg twice dai... Read Full »
Why do I have a burning and tingling sensation while urinating without any discharge?
Query: Hello doctor, I am a 41-year-old female. For two weeks, I have had a burning and tingling sensation while urinating. There is no discharge, and my urine report does not indicate any UTI. I am also having difficulty during sex. Kindly help. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. I understand your concern. I will surely help you out. Thank you. Read Full »
My wife has a burning sensation in her urethral opening. Is it due to UTI?
Query: Hello doctor, My wife has a burning sensation in her urethral opening. She was soaking in a bathtub, so we think soap is the culprit. The problem is we are abroad and have no access to any antibiotics. The symptoms started yesterday after a long walk, and her soaking in the bathtub was the day befo... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. This could be an inflammatory reaction from the soap or a urinary tract infection (UTI). It is difficult to differentiate clinically as symptoms are similar, but the allergy reduces in one day as she does not expose herself to the soap. UTI persists for a long time. ... Read Full »
Why do I still have urethral pain and blood in my urine after being treated for UTI?
Query: Hello doctor,I am 42-year-old and I am being treated for a urinary tract infection with antibiotics, though my urine test came back all normal except for blood in my urine. Tomorrow is the last day of antibiotics, with symptoms still present. No fever, no kidney stone pain, no vomiting, and I feel f... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. The presence of pain frequency and urgency are similar symptoms of urinary tract infection (UTI). Still, negative urine culture results (attachment removed to protect the patient's identity) suggest that it could be... Read Full »
Despite medicines, I still have an urgency to urinate. Why?
Query: Hi doctor, I am a 48-year-old male. I had gross hematuria with dysuria one month ago. I was prescribed Bactrim twice a day for ten days. The first culture was negative despite heavy bleeding. After two weeks, I once again had gross hematuria with dysuria. A culture test was taken, and I was prescrib... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. I understand your concern. This might be due to inflammation. Urinary infection in man is rare and always have an internal cause. Ultrasound KUB (kidney, ureter, and bladder) is mandatory as an initial investigation with post-void volume. There might be a stone or obstruc... Read Full »
Why is my semen not normal after a urinary tract infection?
Query: Hello doctor, I had a UTI with the usual fever, before five months. Before the UTI episode, my ejaculate was the usual (white), but my ejaculate has been clear ever since. I do not have pain, no problem with erections, plenty of desire, etc. What is the cause? Thank you. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Ejaculate color and consistency depends on the frequency of ejaculation. If it is more frequent, it is more clear, light, and more transparent, that is normal and requires no treatment. The only concern here will be if you are looking for fertility, then I will follow u... Read Full »
I am having recurrent UTIs and a sensitive lump in my urethra. Why?
Query: Hello doctor, I got my first urinary tract infection (UTI) around seven years back. My urethra was inflamed and swollen. I got on antibiotics and then it got better. I had this lump that stayed and never went back. Since then I have been prone to UTI right after sexual intercourse. Before, I kept it... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. I understand your concern. The lump is the inflamed gland of Bartholin, which is present in the urethra. Once it gets blocked it will form a cyst, and this cyst gets inflamed after intercourse giving you a burning sensation like a urinary tract infection. The treatme... Read Full »
Why do I still have burning sensation after completing the antibiotic course for treating UTI?
Query: Hello doctor, I have had problems with urine frequency due to stress, but last week I had severe burning sensation and pain, consulted a doctor and was diagnosed with UTI. The pus cells were 20 to 25, the CRP was 188 mg/L, and I had e.coli bacteria. Even the PSA level was 7.55 ng/mL. The doctor pr... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. A male's UTI (urinary tract infection) requires investigations to know the reason, and it starts with an ultrasound with a post-void scan and uroflowmetry for assessment. White blood cells and pus cells in urine mean it is ... Read Full »
I am 21-year-old female with bladder inflammation. Please help.
Query: Hello doctor, I am a 21-year-old female. I am currently on Uribel and Gemtesa medications. I was diagnosed with a UTI and BV two months ago. They have been cleared now, but my bladder has worsened since then. My urologist did a cystoscopy, and nothing was found. A pelvic scan was done a few days ago... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. Thank you for your query. There are a few possibilities. One is cystitis, inflammation of the bladder, which causes urgency, infrequent urination, dysuria, and incomplete emptying of the bladder. The other possibility is urethritis which is less likely to happen in ... Read Full »