Is it severe or not is it reaching till kidneys - #12681
I have burning sensation while during and at end lower abdomen pain lower back pain side pains groins pain unable to stand for long term it effects mybacks sleepiness extreme body pain muscle pain chills extrme nausea loss of my all appetite every 2-3 months it starts recurring whyy.urine r/m shows Physical Examination VOLUME Visual Determination 3 mL - COLOUR Visual Determination PALE YELLOW - Pale Yellow APPEARANCE Visual Determination Turbid - Clear SPECIFIC GRAVITY pKa change 1.01 - 1.003-1.030 PH pH indicator 6.5 - 5-8 Chemical Examination URINARY PROTEIN PEI ABSENT mg/dL Absent URINARY GLUCOSE GOD-POD ABSENT mg/dL Absent URINE KETONE Nitroprusside ABSENT mg/dL Absent URINARY BILIRUBIN Diazo coupling ABSENT mg/dL Absent UROBILINOGEN Diazo coupling Normal mg/dL <=0.2 BILE SALT Hays sulphur ABSENT - Absent BILE PIGMENT Ehrlich reaction ABSENT - Absent URINE BLOOD Peroxidase reaction ABSENT - Absent NITRITE Diazo coupling PRESENT - Absent LEUCOCYTE ESTERASE Esterase reaction PRESENT - Absent Microscopic Examination MUCUS Microscopy ABSENT - Absent RED BLOOD CELLS Microscopy ABSENT cells/HPF 0-5 URINARY LEUCOCYTES (PUS CELLS) Microscopy 7 cells/HPF 0-5 EPITHELIAL CELLS Microscopy ABSENT cells/HPF 0-5 CASTS Microscopy ABSENT - Absent CRYSTALS Microscopy ABSENT - Absent BACTERIA Microscopy PRESENT - Absent YEAST Microscopy ABSENT - Absent PARASITE Microscopy ABSENT - Absent URINE cs Organism : Klebsiella pneumoniae ssp pneumoniae Colony Count : >10^5 CFU/mL Anitibiotic Name Result Unit Interpretation Antibiotic Information Amikacin <=4 MIC Susceptible Ampicillin >16 MIC Resistant Ampicillin/Sulbactam <=4/2 MIC Susceptible Aztreonam <=1 MIC Susceptible Cefepime <=1 MIC Susceptible Gentamicin <=2 MIC Susceptible Imipenem 1 MIC Susceptible Levofloxacin <=1 MIC Susceptible Meropenem <=0.25 MIC Susceptible Cefoxitin <=4 MIC Susceptible Ceftazidime <=0.5 MIC Susceptible Ceftriaxone <=0.5 MIC Susceptible Ciprofloxacin <=0.125 MIC Susceptible Piperacillin/Tazobactam <=4/4 MIC Susceptible Trimethoprim/Sulfamethoxazole <=0.5/9.5 MIC Susceptible Cefazolin <=2 MIC Susceptible Ceftazidime-Avibactam 0.5/4 MIC Susceptible Cefuroxime <=4 MIC Susceptible Ertapenem 0.5 MIC Susceptible Minocycline 2 MIC Susceptible Nitrofurantoin 128 MIC Resistant Norfloxacin <=2 MIC Susceptible usg show tiny stones peicies in renal calyx kft BLOOD UREA NITROGEN (BUN) PHOTOMETRY 5.1 mg/dL 7.94 - 20.07 CREATININE - SERUM PHOTOMETRY 0.51 mg/dL 0.55-1.02 BUN / SR.CREATININE RATIO CALCULATED 10 Ratio 9:1-23:1 UREA (CALCULATED) CALCULATED 10.91 mg/dL Adult : 17-43 UREA / SR.CREATININE RATIO CALCULATED 21.4 Ratio < 52 CALCIUM PHOTOMETRY 8.3 mg/dL 8.8-10.6 URIC ACID PHOTOMETRY 2.87 mg/dL 3.2 - 6.1.not getting right treatment till now its worsening by health day by day what to do
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Doctors’ responses
Hello dear it’s ok You have uti It’s cause by E. coli mostly Kleb it’s rare organism causes UTI think secondary to infection DIY u get chest x ray
Don’t take unnecessary medicine it’s cause resistant Consult to urologist Thanks Stay hydrated
You have a treatable infection due to Klebsiella bacteria and small kidney stones causing repeated attacks. With a proper 10–14 day antibiotic course, high fluid intake, and stone management, you can fully recover and prevent recurrence.
Don’t take any online prescribed medicine. Visit nearest physician.
Your recurrent severe lower abdominal pain, burning urination, and systemic symptoms are likely due to recurrent urinary tract infections caused by Klebsiella pneumoniae, complicated by tiny kidney stones. You need urgent consultation with a urologist for targeted antibiotic therapy based on culture sensitivity and evaluation for possible stone management. Prompt specialist care is essential to prevent worsening infection, kidney damage, or complications like sepsis.
Hello dear After thorough evaluation it seems you are having klebsiella infection which is a type of rare but opportunistic infection I suggest you to please get in person consultation with general physician ( medicine) fir better clarity Also, please share the results already done along with antibiotic sensibility for further treatment Regards
Dear Ilma, I can understand your concern totally With your history and Urine culture and reports it is towards Urinary tract infection Kindly take CITRALKA 10ml in 150 ml of water thrice daily Adequate hydration TAB LEVOFLOX 500mg 1-0-0 for 2 weeks Kindly maintain hygiene and if symptoms persist visit a nearby Urologist Take care
Hello Ilma, I understand your concern. But your issues need to be addressed properly, as you have worsening health. I advise you to consult a Physician or a Urologist for further evaluation and management. It’ll the best for you.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Your symptoms and results indicate that you have a urinary tract infection (UTI) caused by Klebsiella pneumoniae, and the presence of nitrites and leukocytes aligns with this. The recurring nature of your symptoms and the kidney stones noted on ultrasound suggest that the infection may be complicated by the stones, which can harbor bacteria and make it difficult to resolve the infection fully. The urine culture shows that Klebsiella pneumoniae, the bacteria causing your UTI, is susceptible to many antibiotics, including amikacin, levofloxacin, and ceftriaxone, to name a few. One possible plan of action is to use one of these effective antibiotics under your doctor’s guidance.
Given the suspicion of kidney involvement, possibly due to the stones, it’s important to address both the infection and the stones. Your blood tests show a low blood urea nitrogen and creatinine level, indicating your kidneys are still functioning well. However, persistent infections could lead to complications, so it’s critical to get appropriate treatment.
Here’s what to consider: Follow up with a healthcare provider for a prescription of an appropriate antibiotic and discuss the possibility of consulting a urologist. They may offer interventions such as stone removal or additional therapies to prevent recurrence. Managing the kidney stones may involve dietary changes, increased fluid intake, and potentially medications to help dissolve the stones or prevent new ones from forming.
Immediate measures: Ensure adequate hydration, rest, and take pain relief or anti-nausea medications as directed by your healthcare provider. Avoid delaying treatment to prevent complications such as spread of infection to kidneys or development of sepsis. Make sure to complete the full course of prescribed antibiotics to ensure the infection is fully cleared, and follow up with repeat urine cultures to confirm the infection has resolved.
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