Dr. Saurabh Subhash Pandya
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My mother is 79 years old and is bedridden, and due to aging, we had used adult diapers. She is diabetic and hypertensive and is on medications for the same. She has a urinary tract infection, and her sodium levels are also low. She was admitted to a hospital a few days ago for the same. She had a similar issue six months ago. However, her sodium level is fine now, but the doctor said two stents must be placed in the kidney to remove pus and the infection. She is very weak, and she is not conscious. Earlier, the doctor told me two stents would be placed in the kidney, and then subsequently, he changed to one stent. Considering her condition, we requested to continue with antibiotics rather than surgery. But, after four days, he says there is no need for a stent, but for urine passage, surgery needs to be done. Is it possible at this age? We are in a dilemma considering her age. Otherwise, the doctor said to take her home and continue antibiotics. Also, her food is being given through a nasogastric tube. Please share your suggestions.
Hi,
Welcome to icliniq.com.
I went through your query and understood your concern. Her blood reports and sonography report show that she has a chronic kidney disease with raised creatinine, urine infection with high blood counts, and low sodium levels (attachment removed to protect the patient's identity). Her creatinine levels may be high due to infection, dehydration, pre-existing kidney disease, and diabetes. She has already been put on a urine catheter to drain her bladder. Presently her kidneys do not show signs of obstruction, so stent placement is not necessary. She requires proper fluid management and sodium level correction. According to the culture report, she also requires a urine culture and IV (intravenous) antibiotic injections. Subsequently, she will need long-term antibiotic prophylaxis. If she has to have a catheter for more than three months, you may need suprapubic catheter placement (placing a urine tube through the abdomen). Otherwise, once she recovers and her infection reduces, the urine catheter can be removed.
I hope this has helped you.
Take care.
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Urology
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