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Have Lower Back Pain And Pelvic Pressure. Advised Antibiotic. Looking For Suggestion

Posted on Mon, 21 Jan 2013

Question: I have lower back pain, and pelvic pressure. No fever. Dr found trace blood and white cells and ordered antibiotics. She said because I stay so well hydrated she was going to order a urine culture. Why order a culture just because I am we'll hydrated? What's she looking for? Thank you

Answered by Dr. G.Srinivasan (2 hours later)

Hi,
Welcome to XXXXXXX
The symptoms and urine analysis are suggestive of infection in the urine. So the logical next step would be to check the urine for any growth called urine culture test.
There is no specific link between hydration and culture test. If the concentrating ability of the kidneys need to be checked, which may be necessary in specific situations (not in your case) then hydration status is a must.
In summary, please collect midstream urine for culture test ( after discarding the initial few mls of urine)
Hope this helps.
Kindly get back for doubts if any,
Regard
DR GS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (36 minutes later)

When she found blood and white cell in the urine the fact that I'm well hydrated would have no bearing on the amount of blood or white cells and level of infection, is that correct? I'm concerned about kidney infection.

Answered by Dr. G.Srinivasan (1 hour later)

Hi
Welcome back. You are correct.
Kidney infection causes FEVER, VOMITING AND SEVERE LOIN PAIN.
If these are not present, it is simple bladder infection and a course of antibiotics should do the trick. Even if it is kidney infection, three weeks of antibiotics should lead to cure.
Get well soon.
Best Regards
DR GS

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar