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Female bladder problems

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Docs.

I have had two patients this week who complain of bladder infection

type problems, but have been tx. unsuccessfully with antibiotics.

One 37 yoa of 5 months duration, the other 47 yoa of 2 months

duration. Both complain of a full feeling in their bladder, pain

during or just after intercourse, and some referred leg sx. One

patient's mother has the same sx.

Both stated that it started after a vacation, one on a cruise, the

other up in the mountains in a cabin. One with blood in the urine,

but only one UA with WBC. The other was negative. Cultures are

negative.

I am stumped. Have any of you found anything like this in your

practices, and do you know what organism may be causing this? Both

are in monogamous long-term married relationships so odd sexual

practices should be of no concern. (well, that may be an assumption

I made on my own as I did not ask about this aspect of their life)

Any help would be wonderful as both are at their wits end.

Grice, DC

Albany, OR

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