Q. Please guide me with the treatment for urinary tract infection.

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Patient's Query

Hello doctor,

I was diagnosed with urinary tract infection (E.coli) three months back. I took Ciprofloxacin for 10 days, but there is no sign of improvement. Now I have a dull pain in the back region, waist, and sometimes at flank. There is complete body weakness, mild fever, tingling sensation at hand and feet. Are these all symptoms of a kidney infection? Please guide me.

Doctor's Answer

Dr. Abhishek Dixit
MBBS., MD MEDICINE., DM NEPHROLOGY
General Medicine, Internal Medicine, Nephrology

Hello,

Welcome to icliniq.com.

It looks 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.

Start tablet Levoflox (Levofloxacin) 500 mg after giving urine for culture. Consult your specialist doctor, discuss with him/her and take the medicines with their consent.

For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist

Patient's Query

Thank you doctor,

I am going to the hospital tomorrow for my health check-up. Which doctor should I consult? Is it general medicine, nephrology or urologist? Should I directly request the doctor to do the test for ESBL?

Please, I need your valuable suggestion in this hour. Besides urine culture, sensitivity test and ultrasound of the bladder, what other test is required? Please recommend.

Doctor's Answer

Dr. Abhishek Dixit
MBBS., MD MEDICINE., DM NEPHROLOGY
General Medicine, Internal Medicine, Nephrology

Hello,

Welcome back to icliniq.com.

ESBL is the more resistant type of E.coli. You can get it done in all prodigious hospital laborataries. It is a part of the urine culture and sensitivity examination. Rest other tests are fine. While doing bladder test, do a PVR (postvoid residual urine test) and prostrate ultrasonography.

For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist

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Q. Please guide me with the treatment for urinary tract infection.

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