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I have an unresolved issue that several urologists cannot seem to fathom(turbid discharge), any ideas?
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Wonderpickle posted:
Hello,

I'm going to get straight into it. My symptoms are as follows: When urinating, a milky-like substance exits with the urine. It comes at random times during the stream at each event, at the start, middle, or end. The discharge is then accompanied by sharp pain which seems to emanate from inside at the base and along the shaft. After discharge, the feel for needing to urinate continues, and I am able to urinate small amounts afterwards. When urinating these small amounts, the pain comes back to very high levels (Around a 7-9 out of 10.) The duration of the pain and feel of needing to urinate fade anywhere from a few minutes to a few hours later. The problem is intermittent, going away for weeks/months before cropping up again. This problem has been plaguing me for about eight to ten years.

I have been to numerous urologists and taken numerous tests. Each answer from each specialist is different. Here are some of the tests I've found from my records:

Bladder probe (came up normal)
24 hour urine catch (I'll post these findings after this list)
Clean-catch specimen (^)
24 hour urine catch for protein(?)
STD test (came back negetive)
Checked multiple times for kidney stones(negetive)

I was able to do a clean-catch of the milky substance. I took it into my doctor, where he found amorphous crystals in it. The doctor told me that they form when my Ph urine is too acidic. He then mentioned that my urine was at a 8.5 on the Ph scale. I do not claim to know much about Ph, but wouldn't that mean that my urine was at the opposite end of the spectrum? The doctor didn't have an answer as to why, and referred me along to another, younger urologist that would 'chase' the problem more effectively.

This next urologist met with me, heard my symptoms, and pulled up a google image search on urine. I looked for another urologist.

I found another urologist who told me that I need to stop eating potato chips and pizza and all that garbage. He prescribed me two books for better eating habits with no additional testing.

The last urologist we met with did more urine samples and analysis. He also did a bladder probe that came up normal. After a few more visits, I saw his staff rather than the doctor himself and felt more like a paycheck to be collected.

I am utterly frustrated with how this has gone. I've tried changing my diet, exercising more, drinking way more water than I usually do, and trying to find another urologist who would actually keep with the problem rather than dropping me.

I'm including a quick copy of my urine macros and microscopics from my records. These are the ones they had on file for me:


Macro:

https://docs.google.com/open?id=0B5-nFk0B6XS0ak5nTmtzVlJxVjQ
Microscopics:
https://docs.google.com/open?id=0B5-nFk0B6XS0WDFSVEI5Y0hiUmM


I do hope someone could shed some light on this.
Reply
 
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counterso responded:
It hasn't been put in simple terms for you. You are likely forming kidney stones, and the white sludge you see is likely the early sandy stages of kidney stone formation. As for what kind of stones you are forming, it's not clear whether you are forming calcium oxalate or uric acid stones, however both of these are a reflection of your diet and insufficient water intake (that's plain water, not thing that are wet).

I'm sorry that the language used hasn't been more clear. Sounds like the doctors have been talking about specific symptoms and not describing in a more commonly recognized way.

Of course I could still be interpreting incorrectly, but it sure sounds like kidney stone formation. Remember, kidney stones can be smaller than a grain of sand, but they can still hurt. That sludge is a warning that your diet needs a big change and that you need to drink a lot more water before you start passing much more painful objects. You may also benefit from something to balance your urine chemistry like TheraLith XR if you are actually a stone former.
 
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Wonderpickle replied to counterso's response:
Thank you for the reply! I have recently started a new diet which includes copious amounts of water. I'm hoping that it will help, and I won't have to have this happen anymore.

If it doesn't help within a month or two, I may necro this thread again.


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