[Question #5675] UTI / Prostatis or more?

21 months ago
41 year old male. Rural Oklahoma. Past 5 months frequent urination, urgent need to go and sometimes it feels that I cannot empty my bladder all the way. Some dribbles shortly after. Lower back pain. No fever. No chills. Not discharge though. A couple of unprotected oral encounters being the recipient.  An off thing is if I have a sip of alcohol I feel burning and must urinate. Have been tested for all STDs and were negative. Doctor suspected uti or prostatis and have me Cipro which I’m taking. After a day of it the symptoms seem better.  After looking online and reading to sent my anxiety into overdrive that I could ngu but it seems I don’t have the symptoms. Doctor did a urine culture because there was a small trace of lukocytes but nothing else. Results aren’t back. Very stressful and has led me to seek some lifestyle changes and rethink priorities. My concern is I’m somehow “special” and really have something despite my tests being negative. I appreciate your thoughts on the matter. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Welcome back to the forum.

No STD is a likely cause of this problem. Such symptoms originate in the prostate, bladder, etc, and STDs rarely infect these organs. You clearly have increased bladder muscle tone and/or irritation (urinary urgency and increased frequency) -- typical symptoms of overactive bladder, and you're at an age when such problems become common. NGU can cause urinary discomfort, but almost always with discharge. So I'm on the same page as your doctor, although UTI has been excluded (negative culture), and a "small trace" of leukocytes (white blood cells, WBC) in the urine is not abnormal. A prostate problem could be responsible, but probably not.

In any case, for sure you have no STD, which is the only topic we address in detail in this forum -- we're not a site to work out the causes and treatment of non-STD genitourinary problems. But I do hope these comments have been helpful. Let me know if anything isn't clear.

HHH, MD 
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21 months ago
Thank you confirming what I kinda thought. But my mind is wondering big time! And stressing. Would my chronic lack of water and all caffeine be a possible cause? Again I know that wouldn’t be std related. On a side note, I want you thank you for this service. You help so many people. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Your symptoms might be slightly improved by increased fluid intake (making more dilute urine) and avoiding caffeine, but probably not much. These definitely are not the cause of the problem. 

Thanks for the thanks. I'm glad to have helped.---
21 months ago
One final question if I may. Could I have NGU even though I’ve never tested positive for chlymidia ? During this time several months ago I had a sinus infection and had 10 days of doxycycline for that. I cannot remember ever having any discharge except after ejaculation and some additional leaking out but that seems normal and has always been the case. The mind and worrying can certainly cause problems. If I had ngu would the cirpo cure it? Just to clsrify we haven’t gotten the culture back yet. Should be tomorrow.  
21 months ago
 Just as a final update. My urine culture came back normal with no bacteria. The doctor advised that I complete the Cipro to take care of any prostate issue. I assume this means that there were no STDs causing issues since no bacteria was in fact detected. I appreciate your thoughts on this and have a wonderful weekend. Thank you 
21 months ago
Just wanted to follow up. Thanks. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Sorry for the delayed reply. I agree with your doctor. And without urethral discharge, you can be confident you do (and did not) have NGU.

That concludes this thread. I hope the discussion has been helpful.
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