Discomfort In Urinary Tract, Burning Sensation In Rectum, Spasms. On Cipro, Levaquin. Abnormal Urine Test. Bacteria Or Cystitis ?

Posted on Sat, 11 Aug 2012

Question: I recently had a urine sample state 80,000 COL/ML Enterococcus faecalis and 30,000 COL/ML Klebsiella pneumoniae. Doctors put me on cipro two wks, but it had no effect.Then, I was placed on cephlasporin for a month (no effect), and now I am on Levaquin (250 mg) for five days, Difucan (for yeast present), and Tramadol (for pain and discomfort). I am in a lot of discomfort in the urinary tract and rectum area, burning, spasms, pain...I have some diahhrea and occasionally blood in stools (bright red). Is Levaquin the best abx to be on to get rid of this bacteria? Also, could I have gotten it from my roommate who just had gastro surgery and open would infection (on abx for it) or from my probiotics I have been taking? Also, citrus, alcohol sugars, and coffee seem to trigger painful flares. Any thoughts on if this could be more than just the bacteria? Institiual cystitis as well?? I'm to see a GI doc and Urologist soon. .
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Answered by Dr. Chandan Choudhary (12 hours later)

Hi XXXXXXX

Thank you for posting your query.

I understand your concern. After going through your rather detailed description I feel that,

1. You might be having chronic cystitis.
2. You need to get intravenous antibiotics.
3. The antibiotic regimens chosen for your infection might not have been adequate in eradicating the
infection in the first place leading to development of antibiotic resistance.
4. Levaquin might not be sufficient enough to treat your infection.
5. You need to get a urine and stool culture and sensitivity done based on which an antibiotic
regimen could be chosen appropriate for you.
6. The antibiotic regimen needs to be a combined one, meaning it should contain newer 4th
generation cephalosporins or monobactems along with a macrolide and a Aminoglycoside.
7. You do need to get a cystoscopy to find out why your infection is not settling, and to see if there
is any bladder pathology.
8. It is possible that you might have acquired this infection from your roommate.
9. You will also need an Ultra-sonogram of the KUB(Kidney, Ureters and bladder) region.

Hence I suggest you to kindly go ahead with your appointments with Urologist and Gastroenterologist to get a proper physical exam and find out the exact reason why you are having the UTI(Urinary tract infection) for so long.

Hope I have answered your query, please do get back to me if you have any follow up queries.

Regards.

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Above answer was peer-reviewed by : Dr. Yogesh D