Kidney issue with urine culture microscopy done and taken ni - #11489
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
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Doctors’ responses
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.
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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