Help me please!

[HarrissBoBarriss]

Here's a conversation I am having with a doc over the net about my symptoms. Actually, I'm not even sure if they are symptoms. I would add to this that I experienced some pretty mild abdominal pain for a few days, right under my rib cage. Also, it sometimes takes a second or two for me to get my urine flow started.  Is this considered hesitation? It's steady once it starts, other then extremely mild dribbling and I can't really tell, but I think it's normal strength. LIke I said, I can't tell, as I don't go around asking people about their urination. I'm trying to avoid going to the doctor if I don't need to. As I've got an appointment with a gastro on the 22nd as it is, and I've been in and out of Docs offices for the past 4-5 months... Plus I'm on my mom's insurence, and I'm not having a easy time convincing her there's a problem, beyond hemorrhoids or IBS.

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I am an 18 year old female, last week I noticed my urine was



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Asked by HarrissB on Thu, Mar 4, 2010 1:22 PM EST

2 Accepts / 3 Answered Questions



I am an 18 year old female, last week I noticed my urine was foamy. I hadn't even considered the possiblity that this was a health problem till I did a web search. I just went to the Dr. today to do a test to see if I have a UTI because I took a home test that was positive. So my questions are: Are a few air bubbles in urine normal? Can I wait till my endrocrineologist appointment, (In about 10 days). Or is this something immediate? Could a infection of the Bladder cause foam or does foam mean it's spread to the kidneys? Finally, Can I wait to ask my endrocrineologist about this at my appointment 10 days from now?



Optional Information:
Gender: Female
Age: 18

Already Tried:
Home test, urine test at doc's office.







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Expert



Your Expert needs more information
From Dr. Arun Phophalia

Thu, Mar 4, 2010 1:25 PM EST

Greetings.



Do you have any urinary burning or increased frequency or any other symptoms?

Did the urine test at doctor's office show infection?

Are you diabetic?

What is the reason of the endocrinologist consultation?



Dr. Arun


This communication is open till you are satisfied. I have 20 years experience of direct patient care as a surgeon, sports medicine specialist and a medical teacher. Please click accept if I had answered your question. Good feedback/bonus is welcome.






You replied

Thu, Mar 4, 2010 1:27 PM EST
Increased frequency: yes
Burning: No
Diabetic: Not that I know of.
Test results haven't come back yet.
I see an Endocrineologist because I have Turner's Syndrome.



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You have received an Answer!
From Dr. Arun Phophalia

Thu, Mar 4, 2010 1:37 PM EST

Hello,



I would not be worried if your urine is foamy once in a while and especially if you are not drinking enough water and fluids. A persistent foamy urine may point to protein in urine, which will need further evaluation. So crux would be urine examination report. With no other significant symptoms, at this point of time, this is not likely to be concerning. This is not an emergency and this can wait till your endocrinologist's appointment. As I mentioned it is neither the bladder infection nor the kidney infection; which is likely to be causing the foamy urine. Please read this authentic resource;



http://www.mayoclinic.com/health/foamy-urine/AN01702



Please feel free for your follow up questions.



Dr. Arun


This communication is open till you are satisfied. I have 20 years experience of direct patient care as a surgeon, sports medicine specialist and a medical teacher. Please click accept if I had answered your question. Good feedback/bonus is welcome.
Accept Answer






You replied

Thu, Mar 4, 2010 1:40 PM EST
Ok. Well, I've been keeping very hydriated recently. Which has caused my urine to be clear for the most part, (didn't report this to you as a symptom because I chalked it up to my drinking lots of water). What I'm wondering though is: should there be absoulutely no air bubbles in the urine or are a few air bubles always present?



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You have accepted an Answer!
From Dr. Arun Phophalia

Thu, Mar 4, 2010 1:46 PM EST

Hello,



Few air bubbles can be present normally. Do not point to any disease process.



It is pleasure and privilege assisting you.



I hope this was helpful to you. If it was, please remember to ACCEPT the answer so I can get compensated for my work. if you have any more questions, please feel free to ask. I am truly privileged to help you, and I want to make sure that you are satisfied with the answer. Good luck!



Dr. Arun


This communication is open till you are satisfied. I have 20 years experience of direct patient care as a surgeon, sports medicine specialist and a medical teacher. Please click accept if I had answered your question. Good feedback/bonus is welcome.
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You replied

Thu, Mar 4, 2010 6:23 PM EST
Oh. Sorry to trouble you, but I think I may have seen pus on a few occasions. Does this change your recomendation?



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You have received an Answer!
From Dr. Arun Phophalia

Thu, Mar 4, 2010 10:15 PM EST

Hello,



A pus in urine will denote infection and will need antibiotics. Though again a pus is not a common symptom.



Dr. Arun


This communication is open till you are satisfied. I have 20 years experience of direct patient care as a surgeon, sports medicine specialist and a medical teacher. Please click accept if I had answered your question. Good feedback/bonus is welcome.
Accept Answer






You replied

Mon, Mar 15, 2010 3:07 PM EST
Thanks! Wanted to let you know about how my appointment and test went: The test turned up negitive. The endrocrine Dr. did a finger poke which showed my blood sugar was normal. He also said that he didn't think foamy urine occasionally was anything to be concerned about. I'm unsure of what occasionally means though. And what is ment by foamy? I at least once or twice a day have some attached air bubbles in my urine, is this foam? The do not appear white or frothy.






You replied

Mon, Mar 15, 2010 3:28 PM EST
Ok, I've actually got a question or two more. (Trying to rap this up, since I know I'm continueing to ask questions and not pay you.)
A. Do you think my Endrocrine Specialist is acting responseibly here?
B. I saw someone on Yahoo answers suggest that you can test your urine for protine by heating it in a glass tube,(prosumibally he was suggesting doing this at home.) Is this at all effective or is he incorrect?

The "pus" was a slightly yellow discharge, I've read in medical books that vaginal discharge turns yellow when exposed to air, so I'm unsure now if this was in fact pus.

And finally, I forgot to mention that my GP prescribed antibiotics just incase I had an infection.

Oh! And I should mention that I've been having digestive issues for which I've been seeing a Gastro specialist, (Costipation, Diarria, Bleeding). Can't believe I didn't mention this before now.

Edited by HarrissB on 3/15/2010 at 7:50 PM EST
Edit

[HarrissBoBarriss]

Reply from other doc:

You have received an Answer!
From Dr. Arun Phophalia

Mon, Mar 15, 2010 9:57 PM EST

Hello,



Endocrinologist has advised you correctly.



Yahoo answers are frequently incorrect. Proteins checking in urine needs a reagent to be checked at home with heating, so just heating would not help.



The vaginal discharge can mix with urine and they can give picture you mentioned.



Your gastrointestinal symptoms need thorough evaluation, by a colonoscopy and a barium meal follow through study.



Dr. Arun


This communication is open till you are satisfied. I have 20 years experience of direct patient care as a surgeon, sports medicine specialist and a medical teacher. Please click accept if I had answered your question. Good feedback/bonus is welcome.
Accept Answer






You replied

Mon, Mar 15, 2010 10:04 PM EST
Colonoscopy? Would a sigmoidoscopy be suffecient? In fact, I was told that it was unlikely that a Gastro would be willing to perform a colonoscopy on an 18 year old.

[HarrissBoBarriss]

Ok. I showed your response to my mother and she doesn't believe you. LIke I said, the test for UTI was negitive, and I'm not sure if my urination is infact delayed. I'm very scared and don't no what to do.

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Urethral strictures due to recurrent UTI, a stone blocking the urethral opening of the urinary bladder, and certain cancers of bladder cause dribbling urine and hesitancy too. Foamy urine in the presence of dribbling, hesitancy and pain abdomen is most likely to be due to stone or UTI. Please consult an urologist.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!