How can I manage burning sensation associated with urinary infection?

Question

Hello doctor,

I had a urinary infection (buring sensation while passing urine) for past one month. The urine culture test revealed Proteus mirabilis 100000 colonies/ml grown. Since all of the tablet-based antibiotics came resistive, the doctor prescribed Amikacin 500 mg injection 1-0-1 which came as sensitive. I took 10 injections in five days in this month. I also did a general health check-up 15 days back in which abdominal scan showed no problems. The creatine was within the range. However, urea in serum was 17.12 mg/dl whereas the normal range is 19 to 43 mg/dl and blood urea nitrogen (BUN) was 8 mg/dl, whereas the normal range is 9 to 122 mg/dl. However, the buring sensation continued and again took the urine culture 10 days back, and the result came today with Escherichia coli 10000 colonies/ml grown. The antibiotics which showed sensitive are Ertapenem, Meropenem, Amikacin, Tigecycline, and Colistin. Rest of the antibiotics were shown as resistive. Please let me know what I should do.

Answer 1

Hello,

Welcome to icliniq.com.

As per your latest report (attachment removed to protect patient identity), you still have E-coli urinary tract infection. I would suggest you take injection Meropenem 1 gm i.v. twice daily for five days. Of all the antibiotics, Meropenem is the most sensitive. I would not prefer Amikacin as it was already taken before. But, you can take Amikacin 500 mg i.v. twice daily for seven days if you do not want Meropenem. Also, take syrup Cital (Disodium hydrogen citrate) 10 ml in the morning and evening in a glass of water for 14 days and, tablet Flavospas 1 tablet in the morning and evening for 14 days. This will reduce your burning. Your other reports are fine.