Burning sensation on micturation

34/y/o with complain of burning sensation while passing urine and on-off mild dull aching pain in pelvic region from past 2 years. She has taken multiple antibiotic medicine course in past 1 year with not much relief. Also she takes diuretics but they do not help her as urinating more makes it more troublesome for her. On examination No inflammation or swelling seen locally Her recent urine R&M shows- pale yellow urine, no turbidity, Ph- 5 Pus cells 5-6 No RBC seen Specific gravity -1.001 All other investigations normal Suggest what should be done in such case ?

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Advise to drink adequate quantity of water Must avoid Pitta Vardhak Ahar Vihar Advise to avoid Vega Dharana of Mutra Neeri Syp Chandraprabha Vati Gokshuradi Guggulu

USG ABDOMEN NEEDED. Diet modification and Liq.Renalka 10ml three times with lukeworm water. Tab Chandrabrabhavati 2-0-2. 2-0-2.Cap.Goksuradi guggul 2-0-2.

Urinary tract infections (UTIs)

Thirunapanchamula kashayam 15 ml bd bf along with kanmada bhasma cap 1 Gokshuradi guggulu 2 bd AF Chandrapraba vati 2 bd AF Pancha thiktaka ghrutha guggulu 2 bd af Phalapuspasavam 20 ml bd af

Cantharis 200 Berberis vulgaris Q

Rx Cantharis ,BVQ.

Dr. Sahab investigate KFT and USG of lower abd. For treatment

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UTI Rx Ars.alb30/tds

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