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Video

Joanne V/O: My name’s Joanne, I’m 28. I’ve been suffering for about 5 years or so. The symptoms are pretty uncomfortable. It kind of flares up after lots of sex.

Dr Pixie: What’s the problem?

Joanne: I’m getting really bad burning sensations down below.

Dr Pixie: OK

Joanne: Kind of constant discomfort in the area.

Dr Pixie: Right

Joanne: Particularly revolving around when I go to the loo and I have to pee. It’s just consistently like that for the moment. I’ve recently started seeing someone new and we are obviously kind of in a honeymoon period and are quite actively sexual and I think it’s flaring up a lot a lot worse than usual.

Dr Pixie: Does it affect you on a day to day basis?

Joanne: Erm… I have had to take a bit of time off work recently and it’s quite embarrassing. I’m calling in and making up excuses really as to why I’m ill, I’ve got a cold, I’ve got the flu, I don’t really want to go into the whole symptoms with my boss.

Dr Pixie: Yeah.

Joanne: So yeah, I’ve had to take a bit of time off.

Dr Pixie: Ok, let’s see if we can get this sorted out for you. If you could just do me a urine specimen that would be fantastic. All right, we’ll just check it and take it from there. The bathroom is just out the door.

Joanne: All right, thank you.

Dr Pixie: So Joanne, what I am going to do is stick a dip stick urine test into this. This will basically test for all the things that shouldn’t be in a normal, healthy urine…Now, my god, that’s changing colour already. I mean, literally, the top test should change within 2 minutes and yours has changed instantly.

Joanne: Ok.

Dr Pixie: So that indicates you’ve got white blood cells in your urine which are infection cells. You’ve also got some blood in your urine and some protein in your urine. None of these things should be in your urine. So, I think it’s pretty straight forward, you’ve got cystitis.

Dr Pixie V/O: Cystitis occurs when the lining of the bladder becomes inflamed, usually as a result of bacterial infection. Pain, burning and stinging sensations when passing urine are all common symptoms. It can affect both sexes but it’s much more common in women with up to 40% of women getting it in their lifetime.

Dr Pixie: Don’t worry; we’ll give you a course of antibiotics for 5 days. Now, I’m sure you’re thinking ‘God is this going to come back again’. There are things that you can do to prevent this from coming back again and one of the triggers is sex.

Joanne: Yes.

Dr Pixie: So what you need to do is get all the urine out of your bladder before you have intercourse and you also need to pee after intercourse. The other thing is eliminate triggers like tea, coffee and alcohol. Yeah, all the things you like, sex, tea, coffee and alcohol. Try if at all possible not to wear tights and not to wear sexy underwear.

Joanne: Lovely.

Dr Pixie: So back to you Bridget Jones underwear.

Joanne: (Laughing ) The boyfriend will be very pleased. Great, thanks for your advice and help.

Dr Pixie: Your very welcome. See you soon. Bye bye.

Joanne: Bye for now.

Read the video transcript

Consultation: Cystitis

Cystitis can affect anyone but it seems to particulary plague women (the excessive amounts of cranberry juice they drink usually gives them away). Around 40% of women will get cystitis (an inflammation of the lining of the bladder) in their lifetime and it can be quite painful. Dr Pixie McKenna is on hand to diagnose the condition and provide helpful tips on preventing cystitis in this consultation that featured in series one of Embarrassing Illnesses.

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Hi Im 23 I had sex yesterday morning and after went for a wee which was quiet sore,then woke at 6 a.m in bits thinking I need to go to the toilet but only a bit of water comes out.This has happened three times now and I'm recked the hole next day as it keeps me up for near an hour each time. Im with a new partner and have never experienced this sort of thing before any advice would help thanks!





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Hey I am 16 and sexually active with my current boyfriend,shortly after I had sex with him after the 5th time, I have had the urge to pee every few minutes but when I go to the toilet only a few small drops seem to come out...but I still feel the urge to pee? What can I do to get this to stop?





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I am a 15 year old boy that is quite sexually active with women. But sex is starting to become a bit of a problem for me as it is starting to be quite painful around the 'bell end' area, when this happens is when I am having sex again. It never occurs when I first have sex for one time in that day but the seconds and third etc... Start to really hurt. It feels like a burning feeling sometimes and then starts to really hurt like the veins are constantly burning. I am worried that it is and STI, but I am hoping it's not, can someone tell me all causes of why this is happening?





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I'm 22 years old and recently been feeling desperate to go the toilet I even have to go in the middle of the night and I do urinate a lot when I do because I've been drinking plenty of water but I've been having a lot of pressure after I've finish urinated like I need to urinate again but I don't and I've been having cramps in my stomach too.





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Hello just wondering if anyone can help me I had a baby 6 weeks ago and just after I had him I loss all control of my bladder and couldn't hold in my pee I went to the doctors and he said it was a water infection and put me on some antibiotics and it was getting better. I am now struggling again to hold my pee I go the toilet empty my bladder seconds later I need to go again but nothing comes out yet I got the feeling like I'm gonna wee myself could it be another water infection or something worse? Please help thanks





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I am in my 60's lve a few kidney problems after a bout of high potassium....... at the moment lm in and out of the loo thinking l need to pee but its a little dribble l come of the loo still feeling the urge to pee but nothing also heaviness in my tummy and lower region





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im 21 male when i go to the toilet my wee comes out fine at first but cloudy mid flow and white at the end i have this horrible burning and cutting sensation underneath my bellend its swore to touch and have brought me to my needs when im relaxing i can have a sharp shooting pain now and then in the same place where it hurts when i go to the toilet i been in a relation ship for 2 years and only the past few weeks this has happened if anyone could help me that would be great x





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hi i am a 47 yr old female and have had a hysterectomy some years back for fibroids. over the past couple of days i have been wanting to go for a wee all the time and nothing comes out only a pulling sensation which then makes me shiver and feel very uncomfortable my stomach feels so bloated aswell, please help





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The last few days I've been feeling like I need to pee quite bad but when I do go to the toilet nothing or very little actually comes out. I went to the doctors about a week ago about itchiness and they said I had thrush could this be why I feel like this?





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im 20, so had sex for the first time on 3/05. did hurt bit and little while after so i probely didnt think anything of it. though on sunday (1 week after) felt needed to go to the toilet constantly though when i did noticed gone pink red colour as if there was blood and stoped later that day so i stoped worrying and started again today and im really really worried dose sting tiny bit and hurt tiny tiny bit stomock occasional. and cant get a doctors appointment so scared.





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