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Cystitis or IC or OB?

Hey Everybody

I need to find out whether I am suffering from Cystitis or IC or Overactive Bladder?

I have done Urine Culture nearly 20 days back and have been reported with (+2) bacteria and 7600 WBC cells but the other cysts and crystels were absent. I also had 2 to 3 pus cells and 2 to 3 Epelithial cells. After this test doc diagnoised me with Cystitis and put me on doxy-1.

Initially I started recovering but then after 13 days I started showing symptoms and the meds didnt work for me...meanwhile I got yeast infection-vulvitis due to antibiotic I took to cure Cystitis. I saw another Urologist who said I am suffering either from mere infection and/or overactive bladder and prescribed me few antibiotics which I didnt take. Instead I straitway went to a well known local urologist who diagnoised vulvitis and dysuria and has put me on antibiotics.
My symptoms are frequent urination, about 30 to 40 times during day and night...I sleep at around 1:30am and wake once at 2:30am to pee and then directly at 5:00am and then at 8:00am. Till 10 am its all right with me but after that starts the 10 mins rounds to restroom. I can pee very little despite of the constant urge and at times there's slight leakage on my panty liner. There's mild to a little moderate pain in my lower abdomen and on vulva that lingers for some time but not an acute pain. Itching and Stinging has gone as am on Cantestan to treat vulvitis-candida the yeast infection.

What I wish to know is that is my disease bacterial infection-Cystitis or IC or Overactive Bladder.

PS I am suffering from infection since last 1 and a half months.I am 31 year old single woman and have never had any kind of urine infection in past.
3 Responses
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Avatar universal
Hello Doctor

Many thanks for your reply. Yes I have done the culture and sensitivity test. What the test has mentioned in the urine microscopic exam is that Bacteria : 2 + and Pus Cells : 2 to 3/HPF and Epithelial Cells 2 to 3/HPF. Casts, Crystals, Amorphous---Absent.

But in MICROBIOLOGICAL CULTURE AND ANTIBIOTIC SENSITIVITY

Pus Cells: ....---...../HPF
Bacteria: ...Few....

CULTURE STUDY
No Organism Isolated

I am confused as to why does the test show bacteria and yet they haven't isolated it in the culture study. I have sugar in check 83 mg fasting sugar and 110 after food intake. Also my Creatine is in check with 0.89 mg. The only thing which is abnormal is Lymphocytes being 39 % and WBC being 7600 cells.

Please let me know your views and suggestions doctor!

Warm Regards

Bella
Helpful - 0
Avatar universal
Hello Doctor

Many thanks for your reply. Yes I have done the culture and sensitivity test. What the test has mentioned in the urine microscopic exam is that Bacteria : 2 + and Pus Cells : 2 to 3/HPF and Epithelial Cells 2 to 3/HPF. Casts, Crystals, Amorphous---Absent.

But in MICROBIOLOGICAL CULTURE AND ANTIBIOTIC SENSITIVITY

Pus Cells: ....---...../HPF
Bacteria: ...Few....

CULTURE STUDY
No Organism Isolated

I am confused as to why does the test show bacteria and yet they haven't isolated it in the culture study. I have sugar in check 83 mg fasting sugar and 110 after food intake. Also my Creatine is in check with 0.89 mg. The only thing which is abnormal is Lymphocytes being 39 % and WBC being 7600 cells.

Please let me know your views and suggestions doctor!

Warm Regards

Bella
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi,

It appears that you have bacterial cystitis. This can be inferred from the presence of the bacteria in the urinalysis. However, you have not mentioned whether you also had a urine culture sensitivity done. A culture sensitivity is done to identify which antibiotics the bacteria infecting you is sensitive to and is most effective in treating it.

It is possible that the antibiotics you are on are those that the infective organism is resistant to.

You will have to have a culture sensitivity done to identify the organism and the antibiotics it is sensitive to.

Infection symptoms should start subsiding withing 24 hours and may take as long as 48 hours if the organism is responsive to the antibiotic.

Though the etiology of IC has not been conclusively established, it has been reported that longstanding bladder infections increase the incidence of IC.

You can also increase fluid intake to over 2000 ml and add citrus fruits and juices to your diet while avoiding caffeine and alcohol to help the infection clear up.

Do keep us posted on your doubts and progress.
regards

Helpful - 0
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