Please consult a urologist and nephrologist as even after antibiotics your infection is there
It looks like you’ve had a persistent urinary tract infection (UTI) that hasn’t fully resolved despite treatment with nitrofurantoin, indicated by continued symptoms like flank pain, nausea, itching, and sometimes chills. Although your urine culture was negative a month ago, persistent symptoms suggest lingering issues. Negative cultures can occur for reasons such as prior antibiotic use or atypical organisms. Bladder wall thickening and trigonitis seen on CECT can be signs of inflammation or irritation. Given the ongoing symptoms, it would be best to follow up urgently with your healthcare provider. They might consider performing another urine culture, given the time lapse and current symptoms, potentially with testing for atypical organisms, or consider other non-infectious causes related to these findings. Imaging like an ultrasound or CT scan of the kidneys can also assess for changes or complications such as kidney stones or abscesses that might not have been fully apparent before. Always inform your doctor about any allergies, medications, or other health conditions. Drink plenty of fluids to help flush out any lingering bacteria, but avoid caffeinated or alcoholic beverages that might irritate the bladder. If you start experiencing severe pain, fevers, or vomiting, these might be signs of complications requiring immediate attention. Discuss with your doctor about possibly extending or changing your antibiotic depending on their findings and assessment. They might consider other diagnostics or specialties like urology or nephrology, in case there’s an underlying condition affecting your urinary tract health beyond a simple UTI.
