Should I take Amikacin injections for my UTI?

Question

Hello doctor,

I am a 36 year old female. I am currently breast feeding. I am suffering from severe UTI since 20 days. My gynecologist suggested Ceftum, Citralka, and Urispas for three days. After taking the course I was fine for two days. But, after two days, the UTI symptoms came back, but not as severe as the first time. I continued taking the same medicines again for three days. Still, there was discomfort, though the severity had reduced. I got a urine test done and attached the results. My gynecologist then put me on Nitrofurantoin, three tablets per day for a week and from the second week, I was asked to reduce the tablet to two per day. I have taken a total eight tablets, but there is still a burning sensation while passing urine, especially at night. Is this medicine effective? Will my UTI be cured by this medicine? For how many more days will there be a discomfort? Do I have to try a different medicine? Also, my gynecologist told me that if this medicine does not work, I will need to take a five-day injection course of Amikacin 500. Should I go for it right away?

Answer 1

Hello,

Welcome to icliniq.com.

I have seen the reports sent by you (attachment removed to protect patient identity). You are suffering from a urinary tract infection with E.coli.Nitrofurantoin is the correct medicine, as per your urine culture report. As the infection is severe, your symptoms will require some time to resolve completely. I think you will not require Amikacin at present. I suggest you finish the course of Nitrofurantoin and repeat the urine culture three days after that. Take tablet Cranpac (cranberry extract) one tablet each in the morning, afternoon and evening. It will help resolve the infection. Drink adequate amount of water, up to three liters a day.