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Kidney & Urinary Health
Question #11989
232 days ago
439

please its worsening day by day - #11989

Areeba

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

Age: 26
Burning urinstion urgent need to empty
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
232 days ago
5

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 test results and symptoms, it seems you’re likely dealing with a urinary tract infection (UTI) and possibly a mild case of kidney stones, given the “tiny concretions” found in your right kidney via ultrasound. The presence of nitrites and leukocyte esterase in your urine, along with the pus cells, indicates a bacterial infection. The good thing is that your urine culture has identified multiple antibiotics that are effective against the bacteria causing your infection, such as ceftriaxone and ciprofloxacin. Given the susceptibility and considering patient tolerability, oral options like ciprofloxacin or amoxicillin/clavulanic acid could be practical choices, but it’s essential to follow your doctor’s prescription requirements precisely, as they have a full picture of your clinical status and medical history. Drinking plenty of water will also help flush the urinary tract and might aid in passing small kidney stones if that’s contributing to your symptoms. If your pain is severe or worsens, or if you develop fever, chills, or blood in your urine, seek immediate medical attention as these could be signs of a more serious condition. Remember to complete the full course of any prescribed antibiotics even if you start to feel better before it’s finished. Also, follow up with your healthcare provider to ensure the infection has cleared and to discuss any additional treatment or dietary adjustments that may help prevent recurrent UTIs or kidney stones.

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