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Please help mee its worsening day by day please dr I am begging
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Kidney & Urinary Health
Question #11985
282 days ago
503

Please help mee its worsening day by day please dr I am begging

Ilma

Pain in lower abdomen lower back pain while urinating kadwa taste loss of appetite nausea it feels likeI haven't empty my bladder..reports shows this.. Urine r/e- Appearance- Turbid NITRITE - PRESENT LEUCOCYTE ESTERASE -PRESENT (PUS CELLS) Microscopy 7 cells/HPF Culture and sensitivity- First Ampicillin >=32 <=8 NA Resistant First Ceftriaxone <=1 <=1 1 Susceptible First Amoxycillin / Clavulanic acid 8 <=8 1 Susceptible First Piperacillin + Tazobactam <=4 <=8 2 Susceptible First Gentamicin <=1 <=2 2 Susceptible First Ciprofloxacin <=0.25 <=0.25 1 Susceptible First Trimethoprim/Sulfamethoxazole <=20 <=40 2 Susceptible First Nitrofurantoin 32 <=32 1 Susceptible First Norfloxacin <=0.5 <=4 8 Susceptible Second Cefixime 0.5 <=1 2 Susceptible Second Ertapenem <=0.5 <=0.5 1 Susceptible Second Amikacin <=2 <=4 2 Susceptible Second Cefoxitin 16 <=8 NA Intermediate Third Fosfomycin <=16 <=64 4 Susceptible Fourth Ceftazidime <=1 <=4 4 Susceptible Fourth Ofloxacin <=0.25 <=2 8 Susceptible Usg-tiny concreations in right renal BLOOD UREA NITROGEN (BUN) 5.1 mg/dL CALCIUM 8.3 mg/dL CREATININE - SERUM 0.51 mg/dL UREA (CALCULATED) 10.91 mg/dL URIC ACID 2.87 mg/dL

Pain burning urination
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Doctors' responses

Hello dear See as per clinical history it seems you have taken lot of medication. I think it is combination of infection and basic metabolic disorder I suggest you to please get below tests done for confirmation Urine analysis Colonoscopy if recommendation by urologist RBS Cbc Serum albumin/ globulin Rft Lft Please share the result with urologist for confirmation Kindly don’t take any medication without consulting the concerned person Hopefully you recover soon Regards

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Based on your symptoms and test results, it seems you are dealing with a urinary tract infection (UTI), which is supported by the presence of nitrites and leukocyte esterase in your urine, along with pus cells. The culture sensitivity report provides a list of antibiotics to which the bacteria causing your infection are susceptible. Given this information, a suitable antibiotic regimen can be chosen. Ceftriaxone, Amoxicillin/Clavulanic acid, or Ciprofloxacin are effective options based on your susceptibility profile. Since nausea and loss of appetite often accompany UTIs, focusing on medications that are gentler on the stomach like Ceftriaxone could be considered. Since there are tiny concretions (small stones) in your right kidney, it’s also crucial to stay hydrated to facilitate their clearance. Drink plenty of water unless you have been advised otherwise by a healthcare provider. Considering the back pain and the feeling of incomplete bladder emptying, you may also be experiencing some discomfort due to the stones, although your current symptom set is strongly indicative of a UTI primarily. If discomfort escalates, or if fever and significant pain develop, seek medical attention promptly as this could indicate complications or a need for more intensive treatment. Meanwhile, taking prescribed medications, ensuring adequate fluid intake, and rest will play a big role in recovery. If symptoms persist despite treatment, follow up with your healthcare provider for possibly further imaging or tailored management strategies based on clinical response.

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