Q. Should I worry about my brother's urine culture report?

Hi,

Welcome to icliniq.com. Based on his urine reports (attachment removed to protect patient identity), it appears that he is fine in that regard. Since his cardiac functions were thoroughly checked in the emergency room and found to be normal, we can rule out cardiac ischemia as the cause of his pain.

This type of pain is most likely due to indigestion, and some patients may have hyperacidity and associated peptic ulcer disease. I recommend taking him to a gastroenterologist for a comprehensive evaluation and appropriate management. They will be able to assess if there is an infection in the stomach caused by bacteria (Helicobacter pylori) and provide treatment, which may involve an antibiotic triple regimen.If you have any further questions, feel free to ask. As far as his urine reports are concerned (attachment removed to protect patient identity), he looks fine on that aspect. His situation suggested in the emergency room to get him thoroughly checked up for his cardiac functions and they found that to be fine. So, the pain to be a cardiac ischemia is out of the question now. This type of pain most probably due to indigestion and some patients have hyperacidity and associated peptic ulcer disease. I suggest you to take him to a gastroenterologist for proper evaluation and management. If there would be an infection of the stomach by bacteria (Helicobacter pylori), then it can also be ruled out and treated through antibiotic triple regime.

Hi,

Welcome back to icliniq.com.

I appreciate your trust in us. Your work is superb in attaching all the related documents (attachment removed to protect patient identity).

• Getting a normal ultrasound of the abdomen rules out many possibilities that may have caused the issue in the first place. It includes gallbladder stones, obvious inflammation or pus in any organ of abdomen and urinary tract abnormalities.

• I need to add here that your brother had some pus cells in urine. Doctor doubted them to be due to some infection of the urinary tract and needed to rule that out.

• In the light of no growth on the culture and sensitivity test of urine, it is of no importance to have pus cells and granular casts like he had. I doubt if you repeat the urine test, his reports may be better than before.

• Ask him to take a healthy and balanced diet; plenty of fluids including clean drinking water. I suggest him to avoid fast and junk food, fried food, caffeinated drinks, chocolates, energy drinks, beverages of any kind, cigarette and alcohol.

• Remaining physically active will help him a lot. And as aforementioned, it is best to consult a gastroenterologist in person for proper evaluation and management.

For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif

Experience: 12 + Yrs

Cardiology

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