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Medical Forum / General / General / March 2004

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urinary tract parasite or bacteria

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inabadway - 22 Mar 2004 13:51 GMT
Chronic urethritis, cystitis, epidydimitis, prostatitis lasting 8 months.
Sharp stabbing pains followed by dull ache for several days, followed by a
period of feeling fine. Some minor discharge. Strangely I can have pain in
my bladder and none in testicles, then in a space of 10 minutes have it
reversed to pain in testicles and bladder feels 100% fine. It was sexually
transmitted, the girl has similar symptoms. Doesn't respond at all to:

tetracycline
doxycycline
ciprofloxacin
metronidazole
ampicillin

Several chlamydia tests and urine cultures negative. Doctors advice is to
give it time, after 8 months it's getting worse and I'm done giving it time.
My thoughts are mycoplasma but I can't get a test done for it in my area and
no doctor's have any knowledge of it. Now I'm wondering if it could be
parasitic because of the semi-cyclical nature of the pain? Are there
parasites that can infect the urinary tract like this?

I'm going to ask for a cystoscopy, what else can I have done?
J - 22 Mar 2004 21:02 GMT
> Chronic urethritis, cystitis, epidydimitis, prostatitis lasting 8 months.
> Sharp stabbing pains followed by dull ache for several days, followed by a
[quoted text clipped - 11 lines]
> Several chlamydia tests and urine cultures negative. Doctors advice is to
> give it time, after 8 months it's getting worse and I'm done giving it time.

You might want to try (and/or finding out what the tests are for gonorrhea)
http://www.rxlist.com/cgi/generic3/norfloxacin_ids.htm 400 mg q12h 28 days
All patients with gonorrhea should have a serologic test for syphilis at the
time of diagnosis. Patients treated with norfloxacin should have a follow-up
serologic test for syphilis after three months.

http://www.unm.edu/~shc1/gonorrhea.html
Gonorrhea cannot be diagnosed or detected by a Pap smear or urinalysis. Special
tests must be done in order to detect the bacterial organism responsible for the
disease. Antibiotic treatment varies depending upon where the infection is
located. In addition, persons with G.C. should contact the men or women with
whom they have had sexual contact, who should in turn be examined and treated.

Depending on your age, you might, after the antibiotic treatment ends, want to
get a DRE and PSA test.
Why? because of a thread I just read on the prostate newsgroup where a (younger)
man self-treated himself for what he thought was prostatitis for 2 years, then
his doctor treated him for infection for 2 months and since then has been
diagnosed with widespread prostate cancer.
J - not a doctor - no flames- thank you !
inabadway - 23 Mar 2004 01:52 GMT
> You might want to try (and/or finding out what the tests are for gonorrhea)
> http://www.rxlist.com/cgi/generic3/norfloxacin_ids.htm 400 mg q12h 28 days

I've researched all the bacteria this page says it treats, none of them fit
my symptoms, especially the timeframe of the infection, most of these clear
up faster and are susceptible to the antibiotics I've already taken.

> All patients with gonorrhea should have a serologic test for syphilis at the
> time of diagnosis. Patients treated with norfloxacin should have a follow-up
> serologic test for syphilis after three months.

I have very minor discharge which isn't consistent with gonorrhea. I've had
3 or 4 gonorrhea tests, and 2 or 3 syphilis tests.

> http://www.unm.edu/~shc1/gonorrhea.html
> Gonorrhea cannot be diagnosed or detected by a Pap smear or urinalysis. Special
> tests must be done in order to detect the bacterial organism responsible for the

Every clinic I've been to tests for it specifically through urine.

> Depending on your age, you might, after the antibiotic treatment ends, want to
> get a DRE and PSA test.
> Why? because of a thread I just read on the prostate newsgroup where a (younger)
> man self-treated himself for what he thought was prostatitis for 2 years, then
> his doctor treated him for infection for 2 months and since then has been
> diagnosed with widespread prostate cancer.

Cancer doesn't spring up overnight, this literally did.
J - 23 Mar 2004 02:30 GMT
> "J" <MainFrame@example.org> wrote in message
> > You might want to try (and/or finding out what the tests are for gonorrhea)
[quoted text clipped - 3 lines]
> my symptoms, especially the timeframe of the infection, most of these clear
> up faster and are susceptible to the antibiotics I've already taken.

That's what they told me also. I had to take the above for 6 months to finally
get rid of the infection.
I'm suggesting 28 days because that's what the web page suggests for
prostatitis.
J
Steve Harris  sbharris@ROMAN9.netcom.com - 23 Mar 2004 04:53 GMT
Did you have it cultured? Culture of seminal fluid is sometime
necessary. The most common cause of epidydimitis and prostatitis is
plain old E. coli. Other STD bugs can also do it. But they are very
hard to kill once it gets into the prostate, due to the blood prostate
barrier. It sometimes takes months of antibiotics, and people run out
of patience. The new doctors figure that anything that can't be killed
with cipro or one of the new fancy quinalones is not worth working on.

The old gold standard prostatis treatment was 200 mg of
Trimpex(trimethoprim) and 100 mg minocycline, twice a day for 3
months. Trimethoprim is one component of Bactrim/Septra-- the one that
gets into prostate best. Minocycline is far better at this than
tetracycline, as well.

SBH

> Chronic urethritis, cystitis, epidydimitis, prostatitis lasting 8 months.
> Sharp stabbing pains followed by dull ache for several days, followed by a
[quoted text clipped - 17 lines]
>
> I'm going to ask for a cystoscopy, what else can I have done?
 
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