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Kidney issue with urine culture microscopy done and taken ni
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Kidney & Urinary Health
Question #11489
261 days ago
355

Kidney issue with urine culture microscopy done and taken ni - #11489

Archana

I have uti diagnosed one month back I have taken nitrogurantoin for 10 days on urine microscopy pus cells and rbcs seen on cystoscopy trigonitis and cystitis is seen on CECT bladderwall thickening is seen I have flank pain and nausea and itching since last 10 to 15 days sometimes chilli's felt what should I do ? Urine culture was negative which wasdone 1 month ago

Age: 26
Chronic illnesses: Gastritis and IBS
Flank pain and burning sensation
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Doctors' responses

Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
261 days ago
5

1. Persistent flank pain with bladder wall thickening and cystitis needs careful evaluation, not just routine antibiotics.

2. A negative urine culture once does not rule out infection repeat culture with sensitivity is essential.

3. Cystoscopy finding of trigonitis suggests chronic irritation/infection which needs targeted treatment.

4. Since you also have gastritis/IBS, medicines must be chosen carefully to avoid stomach side effects.

5. Please consult a urologist directly for further workup and tailored treatment delaying may worsen kidney/bladder health.

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
261 days ago
5

Please consult a urologist and nephrologist as even after antibiotics your infection is there

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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.

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