Hello doctor,
My mother is diabetic and hypertensive. Ten days back, she had some gas and discomfort in her abdomen, loss of appetite, and slight burning while passing urine. After two days of having Pan D, the symptoms did not improve, so she was started with Oflox OZ twice a day. After three days, she had a low fever of about 99 F but shivering. So her blood and urine tests were done. The sample was taken after four days of antibiotics. Now antibiotic course of five days is over, and she has no fever, but she is still feeling a little cold. Her stomach is better, and there is slight irritation of urine. After finishing the antibiotics for two days, the doctor suggested a urine culture. Please see her reports and give suggestions. Is it normal to feel cold? Is it UTI? She is currently on Glycomet GP 3/850 units twice daily, Voglibose 0.3 mg two times a day, Telmisat AM 5 mg twice a day, Alzolam 0.5 mg once at night, Alzolam 0.25 mg once in the morning, Nexito 10 mg once in the morning, and Fibator 5 mg once a day.
Hi,
Welcome to icliniq.com.
Urinary tract infection (UTI) is more common in females. Most of the time, it is related to the short urethra and ascending infections, but sometimes there are other causes like stones or obstruction in the urinary tract and bladder nerve supply. In addition, there is bacteria from the urine culture (attachment removed to preserve patient's identity), and it is resistant to the antibiotics you gave her, which is Ofloxacin. Cefuroxime is sensitive, and I suggest you give her five more days of Cefuroxime and then repeat the culture in addition to ultrasound KUB. Consult your specialist doctor, discuss with them and take the medicines after their consent. Please do follow up after the tests are done one week later.
Kind regards.
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