HomeAnswersInternal Medicineprotein in urineCan antibiotics be started for a patient with fever, cold, cough, and excess protein in urine?

Can antibiotics be taken by a patient with pre-existing kidney disease?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

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Published At May 21, 2022
Reviewed AtMay 25, 2022

Patient's Query

Hello doctor,

The patient has been suffering from intermittent fevers, colds, and coughs for the last two days.

He has a history of excess protein discharge in urine (value: 800 mg/L). Currently, he is taking blood-thinning medicine for a heart condition and medication for diabetes and blood pressure. Presently, under medication, BP and sugar are normal. COVID antigen test is done twice, and the result is negative. Please advise if we can start with a course of antibiotics as today is the third day.

Hello,

Welcome to icliniq.com.

Since protein urea is present, urinary tract infection must be ruled out.

I suggest urine culture and sensitivity.

Also, I suggest the following medications:

1. Tablet Augmentin 625 (Amoxicillin and Clavulanic acid) 1-0-1.

2. Tablet Cetirizine 5 mg 0-0-1.

3. Tablet Dolo 650 (Paracetamol) 1-1-1 for five days.

Wait for the culture report and review.

Patient's Query

Hello doctor,

Thank you for the reply.

Our concern was that is it fine to take antibiotics as there is a pre-existing condition with the kidney.

From your advice, it is fine to take antibiotics. Can you please confirm if I have understood you correctly?

Thanks in advance.

Hello,

Welcome to icliniq.com.

Yes, you can take antibiotics. Commonly used antibiotics for kidney infections include Ciprofloxacin, Cefalexin, Co-amoxiclav (Amoxicillin and Clavulanic acid), or Trimethoprim.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. C. Elanchezhian
Dr. C. Elanchezhian

General Medicine

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