Quote:
Originally Posted by Layden85
The dipstick was negative for bacteria. It was sent out for a culture and that was negative as well. Uncomfortable feeling in vaginal area. Urge to pee every 20 minutes and it’s small amounts. The dr prescribed phenazopyridine which worked within 20 minutes and I was 75% better. Normal pee no burning. I thought I was fine from noon yesterday until late this afternoon when symptoms can back. Now feels like only small amounts and I drank a lot of water. I’m at the very end of my period so getting a lot of old blood (sorry for tmi). It all happened early yesterday morning. Usually when I do get any burning or urgency to pee small amount it’s only for an hour or so but clears up. This lasted until I took the phenazopyridine.
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No results of dipstick there and the dipstick doesn't test for bacteria. The only closest dipstick test for bacteria is the nitrite test. Certain bacteria can convert nitrate to nitrite but not all bacteria. The doctors office didn't do an exam for bacteria proper as they don't have the equipment to do that test. One needs a microscope and and centrifuge. They do have dipsticks though. There are dipsticks specifically made for only leukocyte esterase and nitrite because of the sensitivity and specificity numbers that I cited in the previous posts in detecting cystitis.
As I posted earlier,
"A negative LE and nitrite can rule out uncomplicated and complicated UTI’s with a sensitivity of 94%. Patients showing symptoms with both of those being negative should under go evaluation for other causes."
You need to be evaluated for other causes.
There are dipsticks specifically made for only leukocyte esterase and nitrite because of the sensitivity and specificity numbers that I cited in the previous posts in detecting cystitis.
Not enough information and one is simply guessing at this point. The phenazopyridine doesn't prevent infections and I have seen quite a few people with orange urine come back through the ER with infections showing ie bacteria in the urine on microscopic. The dipstick results are all void because of the strong color. So it might be too early for you. A borderline microscopic WBC of less than 10/HPF might have been there but we don't know.
It would have been nice to see a urine microscopic to check for WBC's and RBC's the RBC's for stones along with any crystals seen pointing to possible stones.
Urethral irritation specifically urethritis might be a possibility in which case I asked about what test were done on the urine because one does GC and chlamydia on urine. One can also check for trichomonas on the urine microscopic examination. I don't know if you had a pelvic exam showing cervicitis or not because I presume you didn't have any vaginal discharge. Sometimes herpes can give urethral irritation. Obviously sexual history comes into play.
So just to maintain you privacy you don't have to answer any of the above. I am simply providing some information.
Good luck and keep checking to make sure it doesn't turn into a UTI if the urine becomes cloudy but kind of hard to see with that orange color.
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