Urine tract infection

[Olddaddy]

Went yesterday for my medical check up , full blood test which I do every 3 months 

The doctor this time asked me about my trip to Thailand and sexual partners

He suggested a sexual blood test ,💉🩸🩸 and urine test ,I have never had a urine test so it was a first ,he says he will look for sexual diseases .

I drew the line on the anal🍑  swab though ,not sure what that looks for?

Anyway peed in a cup and gave it to the reception 🚽

Today I received a call from the doctor,you have a urine infection !

He was direct to the point 

Mate ...you have a urine infection!

 

😯What,? I have no symptoms I said 

He said the results only show a urine infection,I will send you a prescription for antibiotics he said 💊💊💊

Now he seemed to be in a hurry on the phone ,so I had no chance to ask if it was sexual or what caused it 

But....I remember a farang once telling me in Pattaya it is caused by cumming💦 and NOT urinating directly after ? 

 

 

 

 

 

[floridarob]

54 minutes ago, Olddaddy said:

Today I received a call from the doctor,you have a urine infection !

Imagine what/who the anal swab would've found 🥺

Glad to see your medical posts return, How I've missed them!

[reader]

On 11/26/2024 at 11:01 AM, Olddaddy said:

.I remember a farang once telling me in Pattaya it is caused by cumming💦 and NOT urinating directly after ? 

After I had first sex with girl at age 19, a buddy told me same thing. Either urban legend or sage advice.

[reader]

Not  uncommon to see massage guys piss into shower drain.

—————-

From CNN Health

Doctors say it’s fine to pee in the shower

Here’s a secret that’s not really a secret — many people pee in the shower. Maybe you’re one of those people who don’t care since it’s all going down the same drain, or perhaps you’re one of those who find it unhygienic.

When it comes to going number one in the shower, urologists find it generally safe for both men and women. “There’s no downside, and it is just convenient for some people,” said Dr. Karyn Eilber, a professor of urology at Cedars-Sinai in Los Angeles.

“It’s really personal preference that people don’t like to associate a place where you clean yourself in the shower to a place where you also do some elimination.”

Urinating in the shower is unlikely to create any health problems, according to urologists, and it’s not likely to clog up the drain. Still, there are certain scenarios in which using the shower as a makeshift toilet might not be a good idea.

A common argument against standing up and urinating for women is that the position does not allow pelvic floor muscles to relax, leading to forced straining and incomplete emptying of the bladder. However, Dr. David Shusterman, a urologist and chief physician at Modern Urologist in New York City, said this assertion is not true.

The two muscles controlling the urine flow from your bladder are called the urinary sphincters. One is at the base of the bladder and another near the pelvic floor. Shusterman said pelvic floor muscles do weaken when people try to force urine out. That’s because straining yourself to push tightens the sphincters and puts extra pressure on the pelvic muscles and bladder, making urine hard to release.

You can avoid this forced straining by peeing in the shower. “In a warm shower, it’s very easy for you just to relax the sphincter and let the urine come out,” he said. “Contrary to claims of urinating in the shower being unhealthy, I think it’s actually healthy.”

Eilber said urine gets contaminated with bacteria when you have an infection, such as a urinary tract infection, or UTI. Still, she said people should not worry about catching an infection if someone with a UTI peed in a public shower since the shower water would wash the urine away. “I wouldn’t worry about getting an infection from someone urinating in public bathing areas as much as any mold or fungus you’re stepping in,” Eilber said.

The only caveat is if bacteria get trapped in the skin while peeing. Shusterman said men with foreskin have to pull back to pee safely, and if they do not retract it, urine can get trapped underneath the skin. Doing so creates an environment for fungus to grow, increasing the risk of fungal infections. Women need to spread their labia to avoid bacteria from contaminated urine getting trapped inside the vagina. A shower would be helpful to wash away urine residue, he noted.

Since showers wash urine away, Eilber said it is generally OK for urine to land on legs and feet. However, when contaminated urine lands on an open wound, there is a low chance of infection, she said.

Urine is food for bacteria and fungi, Shusterman said. When it lands on an open wound, it can make the wound hard to heal because bacteria now have nourishment to keep growing, increasing the risk of bacterial infections. He advised putting a wet dressing on the wound to keep it clean and dry.

If you’re constantly urinating in the shower, Shusterman said there’s a risk of developing a psychological association between the sound of running water and the urge to pee. Since the two events happen together, the brain becomes conditioned to relax the bladder and the sphincter when it hears the noise, allowing urine to leak out.

Eilber said this link is not much of a problem for most people, as they just find it convenient to urinate in the shower without a second thought. However, for people who already have an overactive bladder, she noted that the noise can trigger involuntary urine loss. People with overactive bladders will have that urge to go when hearing running water from a sink, toilet or shower.

Continues at

https://edition.cnn.com/2024/11/26/health/peeing-in-shower-wellness/index.html

[unicorn]

On 11/25/2024 at 8:01 PM, Olddaddy said:

...Mate ...you have a urine infection!

 

😯What,? I have no symptoms I said 

He said the results only show a urine infection,I will send you a prescription for antibiotics he said 💊💊💊

Now he seemed to be in a hurry on the phone ,so I had no chance to ask if it was sexual or what caused it...

Well, "urinary tract infection" is extremely vague, as it could be referring to the urethra, prostate, bladder, or kidneys. Your doctor was certainly not professional, as he should have told you what the infection was. Being "in a hurry" is certainly not an excuse. If your infection was sexually transmitted, as most urethral infections are, he should have offered another prescription for any identifiable sexual partner(s). If you're willing to share the name of the antibiotic and for how long you took it, I can "reverse engineer" (or surmise) where and maybe what the infection was. If you were asymptomatic, and your doctor knows what he's doing, he was probably treating a urethral infection, since asymptomatic bladder infections should not be treated, and diagnosing prostate infections do require a digital examination of the prostate (and kidney infections almost always have symptoms). Chlamydia is the most common infection to have no symptoms, although gonorrhea and other urethral infections can also be asymptomatic. Since you didn't receive an injection, one can guess (assuming the physician knew what he was doing) that you didn't have gonorrhea (GC), since GC treatment does require an injection. 

If the test for Chlamydia is positive, and GC negative, it's OK to treat for Chlamydia only, though if the Chlamydia is negative and GC positive, one should treat for both, and some physicians will treat for both regardless. The most common treatment for chlamydia is a week of doxycycline, although azithromycin is OK, especially if the patient is unreliable and one wants to treat with a single dose. Levofloxacin can also be prescribed, and this would also kill any bacteria in the bladder, although the correct treatment for chlamydia is 7 days and for a bladder infection would be 3 days. 

The blood tests would presumably be for syphilis and HIV. Hepatitis B can also be sexually transmitted (and detected via blood tests), but hopefully we're all vaccinated against Hepatitis B. I would call your doctor back and insist that you be given your actual test results. Even his nurse should be able to give you the results if he can't be bothered. 

[Olddaddy]

Thanks for your detailed reply

Cefalexin 500mg prescription 

I will see how it goes ,

I may have to go back if it doesn't clear ,eg burning sensation when I pee etc ,some minor bladder pain,strong smelling urine ,dull minor  pain in left testicle

This all started a week after coming back from Thailand 😳

I have also noticed in the last few days not a strong flow when peeing like I used too ,maybe I'm getting old 👴👴

Although I have been taking them 2 days now (Cefalexin ) ,can't really see any noticeable difference,he said give it a week 

Should clear after a week surely 

I may have to go see a Urologist eventually I think ,he was only a GP at the medical clinic 

 

 

[Riobard]

Another important part of the story is your insinuating you never agree to anal swab. It doesn’t make sense if you are undertaking venipuncture and urine sample routinely and considering sexual interaction risk factors. Therefore the overall STI screening was ‘half-assed’ if your ass when travelling had been available.

It’s merely a long Q-tip where you swirl the cotton end barely within your anal opening. You don’t need to buy yourself dinner before this minimally penetrative date. Much less uncomfortable than a coronavirus nasal swab.

Help your doctor to help you. If you return for test of cure of current unspecified infection the clinic will likely have forgotten that you passed on the anal swab and you might consider asking to do it.

[unicorn]

On 11/29/2024 at 8:38 PM, Olddaddy said:

Thanks for your detailed reply

Cefalexin 500mg prescription 

I will see how it goes ,

I may have to go back if it doesn't clear ,eg burning sensation when I pee etc ,some minor bladder pain,strong smelling urine ,dull minor  pain in left testicle

This all started a week after coming back from Thailand 😳

I have also noticed in the last few days not a strong flow when peeing like I used too ,maybe I'm getting old 👴👴

Although I have been taking them 2 days now (Cefalexin ) ,can't really see any noticeable difference,he said give it a week 

Should clear after a week surely 

I may have to go see a Urologist eventually I think ,he was only a GP at the medical clinic 

 

 

Cephalexin is not the preferred treatment for any infection of the urinary tract, so that's rather weird also. Your post doesn't make sense, since in your original post you said you had no symptoms, but now you're saying you have a burning sensation when urinating, and bladder pain, and maybe pain in your testicle??? That changes things completely. Now that you mention testicular pain, that is a 5th infection of the urinary tract which I didn't even mention in my first response on this string. If you had epididymitis (pain around the testicle), then your treatment is way, way off, since that involves three antibiotics: an injection of ceftriaxone, AND ten days of doxycycline, AND ten days of levofloxacin (and definitely not cephalexin). I hate to say this, but you need a referral to someone who knows what he's doing. Start by getting the results of your tests. Foul-smelling urine, especially with bladder pain, strongly suggests a simple bladder infection, which can usually be treated with a few days of nitrofurantoin. You need to find out if your urine grew out bacteria, or whether you tested positive for chlamydia or GC, because the implications (including treatment) are vastly different. If you have an STD complicated by epididymitis, treatment gets rather involved (IM means an injection into the buttocks muscle). 

https://www.cdc.gov/std/treatment-guidelines/epididymitis.htm

Recommended Regimens for Epididymitis

For acute epididymitis most likely caused by chlamydia or gonorrhea: Ceftriaxone 500 mg* IM in a single dose

PLUS

Doxycycline 100 mg orally 2 times/day for 10 days

For acute epididymitis most likely caused by chlamydia, gonorrhea, or enteric organisms (men who practice insertive anal sex): Ceftriaxone 500 mg* IM in a single dose

PLUS

Levofloxacin 500 mg orally once daily for 10 days

For acute epididymitis most likely caused by enteric organisms only: Levofloxacin 500 mg orally once daily for 10 days

* For persons weighing ≥150 kg, 1 g of ceftriaxone should be administered.

You really should get this looked at by someone else, a urologist if necessary (though it shouldn't be necessary--this should be in the purview of a competent primary care physician). 

[Olddaddy]

Thanks for your helpful input

,this Doctor I saw at the medical centre was a fill in doctor , so I will go back to see my normal doctor this week 

He said he was prescribing Keflex but when the pharmacy gave it to me they gave me this Cefalexin maybe it's the same 

.😀🥴😲😂

[unicorn]

9 hours ago, Olddaddy said:

Thanks for your helpful input

,this Doctor I saw at the medical centre was a fill in doctor , so I will go back to see my normal doctor this week 

He said he was prescribing Keflex but when the pharmacy gave it to me they gave me this Cefalexin maybe it's the same 

.😀🥴😲😂

Thank God the doctor was not your normal doctor. Cephalexin is the name of the medication, and Keflex is the original brand (rarely dispensed these days). Cephalexin would probably kill most bugs if it's a simple bladder infection, though it's definitely not the drug of choice. It will not get rid of chlamydia, and has about a 50% chance of getting rid of GC, so not really an option for any STD. Cephalexin isn't even considered a 3rd-line antibiotic for cystitis. The one inaccuracy in this table is the price for nitrofurantoin, which costs only about $12 per treatment in the US (cheaper elsewhere):

https://www.aafp.org/pubs/afp/issues/2011/1001/p771.html

https://www.goodrx.com/nitrofurantoin-mono-macro?label_override=nitrofurantoin-mono-macro&dosage=100mg&form=capsule&quantity=10

Please bear in mind that cephalexin isn't an appropriate treatment for any infection in the urinary tract. Given that these infections are among the most common medical issues facing a primary care physician, it's a bit horrifying that the fill-in doctor didn't know this. I'd be curious to know if he has any reports in his medical board public file. Hopefully, when your regular physician comes in, he'll be as shocked as I am. If it were me, I'd inform the medical board of his behavior, especially his unwillingness to discuss your lab findings with you. I suspect they would issue a letter of reprimand (which would go on his public file), and might make him take courses in professionalism and/or treatments of urinary tract infections.