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As we discussed above, Dianabol carries a strong aromatizing nature, and is a C17-aa anabolic steroid; as such, its side-effects will revolve around these factors. As an aromatizing steroid, this means there can be a testosterone to estrogen conversion, and if estrogen levels go to high it can lead to some complications. When estrogen levels increase, the hormone can attach to the receptors and cause gynecomastia (male-breast enlargement) and it can also promote excess water retention and high blood pressure; Dbol is notorious for promoting high blood pressure. Needless to say, if you already suffer from high blood pressure you should not touch this steroid, but if it's healthy you'll need to ensure it stays this way. For this reason, in-order to combat and avoid these estrogenic side-effects of Dbol, the use of an Aromatase Inhibitor (AI) is often advised. It shouldn't be too hard to see how this can help; after all, an AI inhibits aromatase, but it goes a step further by reducing the body's total estrogen levels. Of course, and this cannot be overstressed, you must keep your doses at a responsible level; most will need at least 20mg per day for any anabolic promotion, with a maximum dosing of 50mg per day. It should be noted; if you've never used this steroid before, you should not start with a high end dose; start low and see how you respond.
The doctor will ask about your baby's symptoms and do an examination. He may ask about a family history of UTIs because the tendency to get them can be genetically inherited.
If your baby's doctor suspects a UTI, he'll need to collect a urine sample and check it for infection and inflammation with a urinalysis and urine culture. It's important for the doctor to verify that your baby has an infection and determine which bacteria are causing it so he can prescribe the correct antibiotic.
The challenge is that the doctor needs to collect a "sterile" urine sample, or one that hasn't been contaminated by the bacteria that are always present on your baby's skin. This is hard to do with a baby or young child who can't urinate on command or follow special instructions.
Most likely, the doctor will use a catheter to obtain a sample. He'll clean your baby's genitals with a sterile solution and then thread a tube, or catheter, up the urethra to get urine straight from the bladder. Your baby may cry during this procedure, but it's safe and routine and – while it can be uncomfortable – usually takes less than a minute.
Another option, not used as often, is to collect urine directly from the bladder by inserting a needle into the lower abdomen.
The doctor may be able to get preliminary results by using a urine dipstick or by examining the urine under a microscope in the office. If he sees evidence of infection from these initial results, he may start treatment right away. If he sends the sample to a lab for testing, it may take a day or two to get the results.
The doctor may recommend other tests, as well, because UTIs can be a sign that there's something wrong with your baby's urinary tract. Problems that cause UTIs include blockages and a condition called vesicoureteral reflux (VUR), in which urine from the bladder backs up into the kidneys. VUR is found in 30 to 40 percent of babies and young children who have UTIs.
The tests that your baby's doctor may recommend include: