ADVERTISEMENT
ADVERTISEMENT

Q. I have E. coli infection and getting pain in stomach and groin. Please advise some treatment.

Answered by
Dr. Gajanan Shirpad Bhat
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Jul 17, 2019 and last reviewed on: Oct 15, 2020

Hello doctor,

I have E.coli bacterial infection. I am taking Ciplox TZ and Nitrofurantoin. But after taking Nitro, I get pain in the stomach and the right side in the groin area. Also if I go for a walk for around 1 km, I feel pain in the groin area and cannot walk for more than two kilometers. I also have kidney stones on bilateral sides. I have a grade II fatty liver. Please advise.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

You have bilateral renal pelvic obstruction due to stones with diabetes with urinary tract infection. The pain in the groin is due to pelvic renal calculi, the pain of which radiates to the groin. The infection needs to be treated with tablet Levoflox 500 mg once a day for 14 days along with injection Amikacin 500 mg twice a day for 14 days (if serum creatinine is less than 1.6 mg/dl) followed by clearance of stones bilaterally.

Otherwise, your infection does not get resolved as the pus is due to disease associated with stones. Your stomach upset and pain in the abdomen is due to Nitrofurantoin, which causes gastritis and acidity. Nitrofurantoin is not the right choice for treating such infection. It can be useful as maintenance therapy. Kindly get diabetes treated. Please check serum creatinine checked once you start injection Amikacin. The presence of stones prevents the total clearance of infection. Please get back to me if you have any more queries.

I did my NCCT KUB. Please check and advice what to do to cure myself. I am taking Levoflox and Injection Amikacin.
# Hi Rawatji,
As mentioned in the CT, there are stones in both the kidneys which are causing minimal obstruction. There are three options to get rid of them.
1. PCNL/Miniperc- In this, the stones are removed through a small puncture in the back, which passes through kidney and enters renal pelvis and stones are crushed using laser or mechanical energy. This will clear the stones 100%.
2. RIRS- In this, stones are removed through natural urinary passage, ie penis. Here flexible utetetoscope and laser are used. It us the costliest of the three procedures. There are chances of kidney infection with this procedure, as high pressure irrigation is used during the procedure. Chances of clearance of stones is around 95%.
3. ESWL- This is an OPD procedures, wherein, the stones are crushed using focussed magnetic/water pressure waves. This us the least morbid of all, however chances of stone ckearance is only 60%.
Now you need to decide which one you want to opt.
Please note, there are always chance of recurrence, as stone formation in the majority cases is a metabolic problem, which needs to be tackled seperately based in stone analysis.
Hope my answer will help you in making the right choice.
Please feel free to contact again, if you have any more queries.
Regards,
Dr Bhat

Was this answer helpful?

 | 

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



Related Questions:
I have stomach pain and darker stool. What could be the reason?

.. stools are not a good sign. Kindly do a stool examination and visit your family physician for a thorough check-up, so that he can determine the exact cause for your discomfort. There are many reasons like peptic ulcer, a bacterial infection of th...   Read full

I have stomach pain below the breast on the left side. Please help.

.. suffering from constipation. Because of it, you have stomach pain below the breast on the left side with difficulty in depositing waste. When there is constipation, the waste does not get clear entirely from the bowel. This results in bowel enlarg...   Read full

Please guide me with the treatment for urinary tract infection.

.. like an upper urinary tract infection. Get your urine test done in a place where they check whether it is E.Coli (Escherichia Coli) or ESBL (Extended-spectrum beta-lactamases). Also, do an ultrasonography for the bladder to check post void residue...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.