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Kidney issue with urine culture microscopy done and taken ni
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Kidney & Urinary Health
Question #11489
9 hours ago
24

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.
5 hours 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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