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After almost 2 years of CIC, I finally had a urine test. All previous urine tests were normal. This time, however, there were abnormal readings:
2. PH > 8.5
3. Protein 1+
4. Leukocyte esterase 3+
5. WBC >= 60
6. Bacteria : many
7. Triple Phosphate crystals : many
I've read that these are to be expected if you do CIC, as long as there are no other symptoms like fever, they normally can be ignored. However, I just wonder if there are any easy ways to kill off the bacteria, without antibiotics. Currently, my urine is too alkaline, which is a good breeding ground for bacteria, which in turn make my urine even more alkaline.
Regarding the Triple Phosphate crystals, I've seen them for a long time, clinging on to the walls and bottoms of my pee bottles over time, refusing to be rinsed off. They look like sugar granules, except they are clear as glass. They then cling on to each other and can become very thick, very hard to scrubbed off. They are the precursor to one form of bladder stones, and even in the granular form, can cause irritation to the uretha wall and prostate, if you pee very little and/or with a weak stream. They usually settle at the bottom of the bladder so they will try to come out first. If there are not enough urine following to flush them out, they will linger inside your uretha wall. This happened to me occasially, when I often tried to pee before I really needed to, out of the concern that my bladder might be getting too full. The irritation makes you feel like you have to pee, even there's not much to come out. Getting more liquid in and peeing more volume each time seems to avoid this problem.
This also explains what happened to me before when I was CICing 4, 5 times a day. At that time, I could only pee a small amount before self cathing so I am now sure the crystals were still inside the uretha. I felt irritation and urgency quite often, sometimes even right after the cath. I could not explain it at the time, so I thought that I had OAB. I ended up having to go back to the meds in addition to CIC, which seemed to solve my 'OAB' problem. I think what the meds did was helping me to pee more volume, and that was enough to flush the crystals out. I wonder if this situation may apply to others here as well. Hank
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