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Burning with urination

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I'm a 67 year old female who had a total hysterectomy in 1996. Recently I've developed burning with urination and following ---- kind of a constant burning, aching feeling. The urine specimen came back negative for UTI. The doctor ways I have atrophic vaginitis. The urine was cultured and showed nothing significant. The doctor said something was growing at the end of the test, but nothing that needed treatment. Now I'm concerned about that. Please comment. Thank you.

Category: OBGYN

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Category: Infertility Specialist
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I do not completely agree to your Doctor's opinion. The burning sensation and aching feeling, which developed recently could still be due to urinary tract infection. Upto 20% of cases the urine culture could be negative even if there is an infection. A step by step approach is needed here inorder to avoid any further complications.

Repeat early morning urine culture and routine examination has to be done. A trial course of antibiotics can also be considered. Along with this oestrogen creams applied in the vagina can help in bringing back the normal bacterial flora. Prevention and treatment of UTI is very important as long term infections can reach upto your bladder and kidney and cause further complications.

I would like to know some additional details from you so that I can give a solid recommendation and action plan.

1. Do you have fever or night sweats ?
2. Is there any pain in the back , near the rib cage ?
3. Since how many days are you having this aching and burning while passing urine ?
4. Is the pain more in early mornings ?

You can reply as a followup
Hope this helps
Thank you

Patient replied :

I don't have a fever or night sweats. Sometimes I have a pain in my back, but it comes when I lie down for long periods of time. It's nothing new that's developed with the burning. I've had the burning and aching for about 2 weeks now. But it's not any worse with passing urine. It's a burning that's there all the time and doesn't necessarily worsen while passing urine. The pain doesn't seem to be any worse in the mornings. I do have a somewhat decreased urine flow during the night if I get up to urinate, but that's nothing new for me either. It's a normal flow throughout the day. I'm confused as to what to do. I have a HORRIBLE time with antibiotics. They make me horribly sick most of the time, and I hate to take one. I live alone and have no one to call if I have a reaction. The doctor here seems to think it's atrophic vaginitis. But I don't know, and I'm really scared right now. Thank you.


This consult appears "cancelled" for me in my dashboard.
I am not sure why is this. Please contact [email protected] if you have not really cancelled / refunded this consult, to continue the consult.

PS : You do not have alarm symptoms , you need not worry. You might need treatment though.

Dr. Aarti Vazirani
Category: Infertility Specialist
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
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