Talk to Urologist on UTI
Asking For Wife, Male 30, Khairpur
My 30 years wife had bladder pain radiating towards Kidney. CT Scan and Ultrasound were all normal.
Urine Culture suggested " Enterococcus" bacteria greater than 10000 and less than 100000. Doctor recommended Augmentin which was sensitive 625 BD for 7 days. After that symptoms were reduced but present. Doctor than suggested Nitrofurantoin for 5 days which was also sensitive.
After 4 days of completing Nitrofurantoin my symptoms were mild pain in kidney and sometimes shivering. No temperature. I got Urine culture repeated. Results were same as same " Enterococcus Bacteria" wqs present in same quantity. Now Doctor has suggests "FOCIN 1 gram Injection" BD for 7 days.
Sir am I on right track? Does FOCIN Injection treat Upper UTI or Kidney infections as now mildish pain is in left kidney?
Thanks alot and Desperately waiting for reply
Post a picture of culture report. Its better to start her on injectables
yes right medicine
Patient
Post Owner
This is latest Urine Culture. It shows NO growth after 18 inj of focin 1 gram for 9 days. Only symptom is occasional mild burning in urine once or twice a day. Rest urine is fine. No other symptoms.
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Patient
Post Owner
Mam I have shared. This is after use of Augmentin and Nitrofurantoin. Nephrologist hinted that it may be upper uti as mild pain in left kidney suggests. He has prescribed Focin inj 1gram bd for 7 days. Is this injection fine for uoper uti?
1 year ago
MBBS, FCPS Medicine | Lahore | Book Appointment
Yes fosfomycin is effective for pyelonephritis that is upper uti. And since she hasn’t responded well to oral antibiotics, this is the right approach
1 year ago
Patient
Post Owner
Mam her dosage (14 Injections) for fosfomycin is complete. How many days should she wait for her repeat Urine Culture test to see if infection has clearer up? Should she use any other medication till her repeat test?
Thanking you already,
1 year ago
MBBS, FCPS Medicine | Lahore | Book Appointment
If her symptoms have settled that is fever-free and no urine complaints, then repeat testing may even be skipped. But if you want to be sure, you can repeat urine culture and a blood test called CRP in 3-4 days
1 year ago
Patient
Post Owner
Dr. Sahiba her all her symptoms like kidney pain, burning urination, bladder pain are settelled. She neither had fever since beginning nor does she have now. Only one thing that she felt after last injection (14th inj) was mild cold which also vanished with nuberol. Is her cold a side effect or insignificant?
1 year ago
MBBS, FCPS Medicine | Lahore | Book Appointment
Shouldn’t be of any concern if temperature is normal
1 year ago
Patient
Post Owner
Thank you so much mam. I am honored.
1 year ago
Patient
Post Owner
AoA,
After use of 18 Fosfomycin inj for 9 days ( 2 days extended dose on guidelines of doctor):
All symptoms resolved.
Only mild hedeach and 99F temp is present.
Does presence of 99F temp show any uncleared infection?
Should inj be stopped and wait for few days to repeat urine culture or should I further extend the dose?
Thanking you already ,
1 year ago
MBBS, FCPS Medicine | Lahore | Book Appointment
If fever reaches 100 F then you should get a repeat culture. 99 could be normal body response
1 year ago