instruction: hello doctor I had a bad bout of ti male 72 which started around last month and I started antibiotics a week later by that time there was very heavy blood in the urine and was getting severe chills I took the antibiotics for days everything cleared up and then I traveled and upon my arrival here had cloudy and slow urine with some sensation in the urethra no other symptoms do not feel I have a fever I am feeling reasonably lively and reasonable appetite this latest bout of cloudy slightly smelly urine has been going on now for days it seems to be unchanged a urine test shows high leucolytes oh around glucose negative to normal nitrite positive protein bilrubin urobiinogen and blood ery ul seem fine maybe miniscule amount of blood
output: hello I have gone through your queries you had recurrent documented ti with history of hematuria as you are 72 now and you had hematuria you must undergo clinical examination and few investigations you should contact your local urologist he will examine you clinically will do a digital rectal examination to look for prostate size consistancy presence of any suspicious nodule etc you need a few investigations also us kubp and per urinalysis urine is uroflowmetry serum spa urine for malignant cells for days last but not the least you need one cope cystoscopy to look for any urinary bladder pathology hence you please do not be late to attend office of your local urologist ti may be the manifestation of other pathology when you find ti in male person you have to find out the cause in your case prostate pathology may be the cause