gilghost Posted March 31, 2009 Share Posted March 31, 2009 i believe na that could be it bro... if your next test is still reactive then you will have to undergo confirmatory testing which is called the Western Blot Method... :mtc: i guess karma ko ito for doing it live with some PSPs... Quote Link to comment
peterparker Posted March 31, 2009 Share Posted March 31, 2009 Bos Peter, Good morning.. Latest update po dun sa tropa ko... Sabi nya, the pain during urination was gone late afternoon kahapon, even the pain kapag pini-pinch nya yung tip..when he took the urinalysis ulit, wala ng pain but yung PUS Cells 26-28 /HPC pa rin daw. Di sya makapag Gram Stain test kasi daw yung specimen ay di enough for the test.. Sobrang konti daw. Same diagnosis pa rin ng doctor nya.. UTI pa rin. This morning, may whitish discharge pa rin, pero walang pain... we really can`t be certain it`s not gonorrhea kasi di pa nagagawa yung gram stain bro... kahit siguro konti lang yung discharge dapat subukan nang gawin yung gram stain... :mtc: Quote Link to comment
peterparker Posted March 31, 2009 Share Posted March 31, 2009 i guess karma ko ito for doing it live with some PSPs... i`m not one to judge bro... but you should always use protection nga... but then again, using a rubber does`nt give you 100% protection from STD`s... :mtc: Quote Link to comment
zenislev Posted March 31, 2009 Share Posted March 31, 2009 we really can`t be certain it`s not gonorrhea kasi di pa nagagawa yung gram stain bro... kahit siguro konti lang yung discharge dapat subukan nang gawin yung gram stain... :mtc: sabi daw po kasi nung Lab Lady dapat daw dalawang slide eh... hehehe.. di naman daw nya matiyempuhan na meron during check up nya.. sabi daw nung doctor bumalik daw sya bukas for another test... thanks po ulit. Quote Link to comment
reskie22 Posted April 3, 2009 Share Posted April 3, 2009 avoid making sex to a woman with a foul discharge odor....believe it or not.... Quote Link to comment
xwhiteshadowz Posted April 8, 2009 Share Posted April 8, 2009 (edited) ^ its a good observation sir..imho it is not always true that if a vagina smells it means it is always infected..we all know that the vagina have its normal flora/bacteria that maintains a certain range of pH/acidity that serves as protection for the vaginal orifice...this also serves to minimize the growth of other microbes that should not be present..during the ovulation and menstruation the pH of the vagina tends to change due to the secretions that affect the normal environment of the vagina..this may predispose her to certain infections that is not considered as std.. yes, this can also be malodorous and may even have discharges... certain cosmetics can also alter the normal acidity like vaginal antiseptics and washes...the semen can also alter the pH since it is basic/alkaline..chemotherapeutic agents such as antibiotics are selected and carefully given in a female considering that they have to maintain the bacteria present in their vagina for protection...your observation is also correct since microbial infections that cause sti's do produce odors in cases like trichomonad infections. - with regards to sir gilhost's friend...he should always tell the doctor the real thing that had happened... if there's the hesitation to tell all what had happened then this may hinder the physician to arrive at the correct diagnosis quickly...the most basic physical exam and history is the most important thing when visiting the doctor..and by this..they can pinpoint the problem or have differential diagnosis for it..laboratory and ancillary procedures are merely confirmatory tests to aid the physician to arrive at an exact diagnosis.. its is still the judgement of the physician what matters most... the treatment can be started even just after the interview depending on how does the symptoms present.. urethritis are commonly caused by certain bacteria that may be difficult to differentiate by just looking at the discharge...gonorrhea and chlamydia more often than not always comes together in this infections...and treatment usually consist of 2 different drugs because the other drug may not be that effective for the other microbe present...trichomonal infections may also be considered and another drug is again needed for its coverage..hth Edited April 8, 2009 by xwhiteshadowz Quote Link to comment
zenislev Posted April 9, 2009 Share Posted April 9, 2009 Good evening doctors... My friend shared the result of his recent test to me... However, his doctor was already on vacation so the results may be read only next monday. He was diagnosed with UTI: here are the findings: Gram Stain: (taken last April 4, 2009) gram (+) cocci: moderatepus cells: moderateepithelial cells:moderate Urinalisys: (taken last April 4, 2009) epithelial cells: moderatepus cells: 8-10 /HPFRBC: 0-3 /HPFAmorphous Substance: RareMucous thread: fewBacteria: Rare Ultrasound of Kidney and Urinary bladder: (taken last April 5, 2009) right kidney measures: 8.7 x 3.1 cmleft kidney measures: 7.9 x 4.1 cmboth kidneys show normal echotextureno evidence of stone or hydronephrosis noted.the urinary bladder is unremarkable impression: normal sonographic study Urinalysis: (taken last April 7, 2009) epithelial cells: fewpus cells: 1-3 /HPFRBC: 0-2 /HPFAmorphous Substance: Rare He is currently taking ciproflaxacin since March 28, 500mg every morning and evening. Is his condition getting better or worse? He said there is still some discharge but it is very few and clear. Any other possible measure he must take? He is 26 years old. Quote Link to comment
peterparker Posted April 9, 2009 Share Posted April 9, 2009 Good evening doctors... My friend shared the result of his recent test to me... However, his doctor was already on vacation so the results may be read only next monday. He was diagnosed with UTI: here are the findings: Gram Stain: (taken last April 4, 2009) gram (+) cocci: moderatepus cells: moderateepithelial cells:moderate Urinalisys: (taken last April 4, 2009) epithelial cells: moderatepus cells: 8-10 /HPFRBC: 0-3 /HPFAmorphous Substance: RareMucous thread: fewBacteria: Rare Ultrasound of Kidney and Urinary bladder: (taken last April 5, 2009) right kidney measures: 8.7 x 3.1 cmleft kidney measures: 7.9 x 4.1 cmboth kidneys show normal echotextureno evidence of stone or hydronephrosis noted.the urinary bladder is unremarkable impression: normal sonographic study Urinalysis: (taken last April 7, 2009) epithelial cells: fewpus cells: 1-3 /HPFRBC: 0-2 /HPFAmorphous Substance: Rare He is currently taking ciproflaxacin since March 28, 500mg every morning and evening. Is his condition getting better or worse? He said there is still some discharge but it is very few and clear. Any other possible measure he must take? He is 26 years old. it`s nice to hear that the gram stain result revealed no neisseria gonorrheae sa discharge niya... i think he can stop taking the cipro na, it`s been almost 2 weeks na iniinom niya ito... baka magkaroon na ng side effects.. as far as i can tell, sa latest urinalysis and UTZ study your friend should be doing fine na... i would suggest another gram stain to be done on April 11, maybe this would be the final one na just to determine if the gram positive bacteria and pus cell count will decrease to, shall we say "normal" levels... just to add lang, if your friend is sexually active, i hope you will remind him to stay safe, use protection always... :mtc: Quote Link to comment
zenislev Posted April 9, 2009 Share Posted April 9, 2009 it`s nice to hear that the gram stain result revealed no neisseria gonorrheae sa discharge niya... i think he can stop taking the cipro na, it`s been almost 2 weeks na iniinom niya ito... baka magkaroon na ng side effects.. as far as i can tell, sa latest urinalysis and UTZ study your friend should be doing fine na... i would suggest another gram stain to be done on April 11, maybe this would be the final one na just to determine if the gram positive bacteria and pus cell count will decrease to, shall we say "normal" levels... just to add lang, if your friend is sexually active, i hope you will remind him to stay safe, use protection always... :mtc: yep... lagi na daw syang may dalang condom... anu pong normal level ng bacteria? normal po ba yung may pus cells? he also added when he talked earlier, na mimiss na daw nya magmastur... baka daw kasi makasama pa sa kalagayan nya. anu pong side effects ng cipro? wala naman syang nasabing kakaiba eh.. Quote Link to comment
tma683 Posted April 9, 2009 Share Posted April 9, 2009 gudeve mga master MDs, meron po ba kayo masuggest na reliable na lab or clinic para magpaurinalysis around Manila or Q.C. nagpacheck kasi ako in front of san lazaro, OK naman ang result (pus cells: 0-2 RBC: 2-4) pero after mga 1 week, napadaan ako sa pasay at naisip kong magpa test eto po ang lumabas sa test nila (pus cells: 10-14 RBC: 4-6). possible po bang nagkamali lang ng reading yung dalawang lab? ano po ba ang safe count sa pus cell at RBC? Thanks.. Quote Link to comment
peterparker Posted April 10, 2009 Share Posted April 10, 2009 yep... lagi na daw syang may dalang condom... anu pong normal level ng bacteria? normal po ba yung may pus cells? he also added when he talked earlier, na mimiss na daw nya magmastur... baka daw kasi makasama pa sa kalagayan nya. anu pong side effects ng cipro? wala naman syang nasabing kakaiba eh.. actually there should be no bacteria or at most, just a few along with the pus cells... presence of many bacteria and/or pus cells suggests an ongoing infection kasi... no problem if he wants to jack-off bro... i believe it can be therapeutic pa nga... side effects of ciprofloxacin may include nausea, diarrhea, vomiting, abdominal pain, headache, trembling and rash... :mtc: Quote Link to comment
peterparker Posted April 10, 2009 Share Posted April 10, 2009 gudeve mga master MDs, meron po ba kayo masuggest na reliable na lab or clinic para magpaurinalysis around Manila or Q.C. nagpacheck kasi ako in front of san lazaro, OK naman ang result (pus cells: 0-2 RBC: 2-4) pero after mga 1 week, napadaan ako sa pasay at naisip kong magpa test eto po ang lumabas sa test nila (pus cells: 10-14 RBC: 4-6). possible po bang nagkamali lang ng reading yung dalawang lab? ano po ba ang safe count sa pus cell at RBC? Thanks.. are you experiencing any pain or difficulty in urinating ba..? does it hurt when you pee..? or masakit o nangangalay ang likod mo..? may dahilan ba kung bakit nagpa-urinalysis ka..? baka yung unang test mo, wala namang problema at that time... sa pangalawang test, posible na nagsimulang magkaroon ka ng impeksyon sa ihi... pus cell count in urine should normally not exceed 0-5/hpf or depende sa normal value na ginagamit ng laboratory... same with red blood cells, may sinusunod na normal range... personally, >5 rbc`s makes me consider that something might be happening na... i suggest that you can go to the St. Luke`s Hospital Laboratory Department to have your pee tested again... at the same time mag-konsulta ka na din with a physician... :mtc: Quote Link to comment
zenislev Posted April 10, 2009 Share Posted April 10, 2009 (edited) actually there should be no bacteria or at most, just a few along with the pus cells... presence of many bacteria and/or pus cells suggests an ongoing infection kasi... no problem if he wants to jack-off bro... i believe it can be therapeutic pa nga... side effects of ciprofloxacin may include nausea, diarrhea, vomiting, abdominal pain, headache, trembling and rash... :mtc: last tablet na daw nya tonight. next monday makapagpacheck up na daw sya ulit and another urinalysis. dapat na ba syang magpalit ng set ng underwear? anu po bang preventive measures or dapat nya gawin para tuluyan na syang gumaling? curious lang po, normal lang po ba na may discharge sa penis kahit walang UTI or STD? unless of course na arouse ka... :boo: saka, para maging STD dapat po ba kulay dilaw yung discharge? (kulay nana) or kahit watery color (clear) eh posible na? Edited April 10, 2009 by zenislev Quote Link to comment
peterparker Posted April 10, 2009 Share Posted April 10, 2009 last tablet na daw nya tonight. next monday makapagpacheck up na daw sya ulit and another urinalysis. dapat na ba syang magpalit ng set ng underwear? anu po bang preventive measures or dapat nya gawin para tuluyan na syang gumaling? curious lang po, normal lang po ba na may discharge sa penis kahit walang UTI or STD? unless of course na arouse ka... :boo: saka, para maging STD dapat po ba kulay dilaw yung discharge? (kulay nana) or kahit watery color (clear) eh posible na? well, ubusin na lang niya yung meds niya and follow-up na lang uli with another urinalysis and/or gram stain... i believe he`ll be ok na, observe proper hygiene and drinking lots of fluid would help a lot... i would recommend fresh buko juice, not yung nabibili in plastic cups as may kahalong formaldehyde ang mga ito... i will share with you a list of the different sources of penile discharge : Balanitis Chlamydia Excessive masturbation Foreign body in urethra Gonorrhea Granuloma inguinale Mechanical urethritis - trauma or damage to the urethra from physical injury (e.g. cycling, horse riding, etc.) Non-Gonococcal urethritis (NGU) Non-specific urethritis Phimosis Reiter’s syndromeTrichomonas Urethral condition i believe we can justify that more often not, the presence of a penile discharge would indicate the probable presence of an STD... and there can be different characteristics of the discharge which is dependent on the origin... i.e. gonorrhea frequently presents with a yellow-green discharge... :mtc: Quote Link to comment
zenislev Posted April 10, 2009 Share Posted April 10, 2009 well, ubusin na lang niya yung meds niya and follow-up na lang uli with another urinalysis and/or gram stain... i believe he`ll be ok na, observe proper hygiene and drinking lots of fluid would help a lot... i would recommend fresh buko juice, not yung nabibili in plastic cups as may kahalong formaldehyde ang mga ito... i will share with you a list of the different sources of penile discharge : Balanitis Chlamydia Excessive masturbation Foreign body in urethra Gonorrhea Granuloma inguinale Mechanical urethritis - trauma or damage to the urethra from physical injury (e.g. cycling, horse riding, etc.) Non-Gonococcal urethritis (NGU) Non-specific urethritis Phimosis Reiter’s syndromeTrichomonas Urethral condition i believe we can justify that more often not, the presence of a penile discharge would indicate the probable presence of an STD... and there can be different characteristics of the discharge which is dependent on the origin... i.e. gonorrhea frequently presents with a yellow-green discharge... :mtc: maraming salamat po ulit.... grabe.. masama din pala yung sobrang pag jack off.. hehehehe... the rest, di ko na masyadong naintindihan... so buko juice pala ang dapat nyang inumin lagi... if not.. lots and lots of water... Quote Link to comment
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