Chlamydia???

[KhunThai73]

i have been having episodes of frequent urination on and off for more than 1year
sometimes going like every hour, sometimes every two hour, except at night waking up 1-2 times
in my early forties,
incidently, whenever this frequent urination episodes happen, I feel a weird sore on my left side, on the back near the kidneys, on the left groin and maybe under the testicles and even left side of the bladder

Have went for blood and urine culture, even ultrasound for kidney stones but found nothing so far,
could It be chlamydia?

Maybe Dr Tan can advice.
there is no blood or painful urination but I heard not everyone with chlamydia will show all the symptons if any at all..

[Big Sexy]

i am not sure, but it doesnt sound like chlamydia to me..
sound more like enlarged prostate related problem or some problem with your bladder/kidneys
but i am no doctor and i suggest u do a further check to be sure.

let's wait for the professional advice from Dr Tan

Originally Posted by KhunThai73

i have been having episodes of frequent urination on and off for more than 1year
sometimes going like every hour, sometimes every two hour, except at night waking up 1-2 times
in my early forties,
incidently, whenever this frequent urination episodes happen, I feel a weird sore on my left side, on the back near the kidneys, on the left groin and maybe under the testicles and even left side of the bladder

Have went for blood and urine culture, even ultrasound for kidney stones but found nothing so far,
could It be chlamydia?

Maybe Dr Tan can advice.
there is no blood or painful urination but I heard not everyone with chlamydia will show all the symptons if any at all..

[nigelT]

chlamydia often show no symptoms in 20-80% of patients

[KhunThai73]

thanks for the reply
I did a check on the prostate, its not enlarged, and I did a prostate cancer maker test too, again its negative

I got a feeling besides STD, it could be some urine flow constriction somewhere on the left side, but I don't know what kind of specialist to see
and how much the medical bills gonna be doing all the expensive CT Scans etc

[sammyboyfor]

Originally Posted by KhunThai73

thanks for the reply
I did a check on the prostate, its not enlarged, and I did a prostate cancer maker test too, again its negative

I got a feeling besides STD, it could be some urine flow constriction somewhere on the left side, but I don't know what kind of specialist to see
and how much the medical bills gonna be doing all the expensive CT Scans etc

Sounds to me like overactive bladder syndrome and it can be brought about by excessive consumption of caffeine, alcohol or other food/drinks that irritate the bladder.

Try cutting down on coffee/tea/alcohol. If the symptoms disappear, then you'll have found out the cause.

[nigelT]

Originally Posted by sammyboyfor

Sounds to me like overactive bladder syndrome and it can be brought about by excessive consumption of caffeine, alcohol or other food/drinks that irritate the bladder.

Try cutting down on coffee/tea/alcohol. If the symptoms disappear, then you'll have found out the cause.

Any comments from Dr Tan?

[sammyboyfor]

Originally Posted by nigelT

Any comments from Dr Tan?

I await with bated breath.....

[IAmAwesome]

Originally Posted by nigelT

chlamydia often show no symptoms in 20-80% of patients

I never knew that, interesting

[DoctorTan]

Urinary frequency is a symptom of bladder irritation.
The fact that this is associated with discomfort in the left loin suggests the presence of a stone.
You did an Ultrasound scan of the Kidney Ureter and Bladder which did not find any stones. But honestly, I have seen US scans miss stones before. In fact, in a recent patient of mine, the US scan missed a 1cm stone!!!!!
So should you do a CT KUB scan? Yes you should. It should cost in the range of $300 to $400.

Assuming the left sided loin discomfort is not significant, the other common cause of urinary frequency is infection. This infection can be in the bladder or in the prostate. Can it be Chlamydia or any other infection (STD or non-STD) hiding in the prostate? Yes it can. You would need to test your Expressed Prostatic Secretions for that.

The other common cause of urinary frequency is bladder outlet obstruction. You are in your 40s so there is a chance your prostate is enlarged. I know you checked your prostate and it is not enlarged but sometimes the prostate is not overall enlarged but a particular lobe is jutting out into the bladder neck. So you will get symptoms of bladder outlet obstruction with a overall normal sized prostate gland.

Less common causes are issues with the bladder itself which include over-active bladder syndrome, interstitial cystitis and bladder cancer.

Even more rarely, urinary frequency can be a symptom of other health conditions not related to the urinary system at all like anxiety and hyper-active thyroid.

[nigelT]

good information

[KhunThai73]

kudos to Dr Tan again for the well informed reply
I am tempted to do the CT KUL Scan but really the pain is not significant, its more like a niggling dull soreness, I read somewhere if it is really kidney stones it will be very very painful
Please comment

I would like to do a chlamydia test but I was on flu medication just a while back and I was given anitbiotics zyhtromax,
would the results still show positive if it was really chlamydia?
Please comment

I did a google search and I believe my urine culture was just for normal bacteria not an specific STD test like chlamydia as I read for chlamydia the culture test will take 5-7 days, I got my test within 3 days
am I correct?

Lastly, if it is some constriction somewhere in my urinary system, be it from the ureter all the way to the bladder and uretha, what kind of options do I have to check?

[DoctorTan]

Originally Posted by KhunThai73

kudos to Dr Tan again for the well informed reply

Thank you.

Originally Posted by KhunThai73

I am tempted to do the CT KUL Scan but really the pain is not significant, its more like a niggling dull soreness, I read somewhere if it is really kidney stones it will be very very painful
Please comment

If the stone is moving the pain is very bad. If the stone is sitting still, the pain is not so bad. It can be an ache or just a discomfort.

Originally Posted by KhunThai73

I would like to do a chlamydia test but I was on flu medication just a while back and I was given anitbiotics zyhtromax,
would the results still show positive if it was really chlamydia?
Please comment

Zithromax 1g as a stat dose is the treatment for Chlamydia. You should have taken Zithromax 500mg once per day for 3 days. This can also cure Chlamydia but there is a chance of treatment failure. If the Zithromax was taken less than 2 weeks ago, PCR tests for Chlamydia may still pick up the infection. If the Chlamydia infection is in your prostate, it will unlikely be cured with Zithromax.

Originally Posted by KhunThai73

I did a google search and I believe my urine culture was just for normal bacteria not an specific STD test like chlamydia as I read for chlamydia the culture test will take 5-7 days, I got my test within 3 days
am I correct?

Chlamydia is not detected by culture. It is detected by PCR. This takes less than 1 day.

Originally Posted by KhunThai73

Lastly, if it is some constriction somewhere in my urinary system, be it from the ureter all the way to the bladder and uretha, what kind of options do I have to check?

CT IVU. This is the best test to pick up strictures.

BTW, I have to remind you that this is not medical advice. You must still see a doctor for a formal medical consult.

[OrTeh]

Originally Posted by nigelT

good information

Yes very informative as well

[KhunThai73]

Originally Posted by DoctorTan

Thank you.



If the stone is moving the pain is very bad. If the stone is sitting still, the pain is not so bad. It can be an ache or just a discomfort.



Zithromax 1g as a stat dose is the treatment for Chlamydia. You should have taken Zithromax 500mg once per day for 3 days. This can also cure Chlamydia but there is a chance of treatment failure. If the Zithromax was taken less than 2 weeks ago, PCR tests for Chlamydia may still pick up the infection. If the Chlamydia infection is in your prostate, it will unlikely be cured with Zithromax.



Chlamydia is not detected by culture. It is detected by PCR. This takes less than 1 day.



CT IVU. This is the best test to pick up strictures.

BTW, I have to remind you that this is not medical advice. You must still see a doctor for a formal medical consult.

Thank You, looks like will be visiting your clinic soon, Novena Branch?

[DoctorTan]

Originally Posted by KhunThai73

Thank You, looks like will be visiting your clinic soon, Novena Branch?

Yes I am at Novena Medical Center #08-31