
Low Grade Fever And Very Tired. Clear Drainage From Seasonal Allergies. Had UTI And Took Azo Test. Further Tests Needed?

Urine culture and sensitivity testing
Detailed Answer:
Hi and thanks for the query,
Having several UTIs and another positive urine test for nitrites and leucocytes implies persistence of an infection. I think its a good idea to identify why you are having recurrent recurrent infections. Conditions like diabetes have to be carefully ruled out for it predisposes to recurrent urinary tract infections. I suggest a urine culture and sensitivity testing first to identify the germ.
Continues tiredness is worth investigating, With a low grade fever, septicemia (bacterial infection in blood) should be ruled out. You are right by suggesting a complete blood count. A c reactive protein measurement shall indicate the degree of infection and help in monitoring therapeutic success. Other causes of low grade fever like systemic diseases (lupus) and rheumatologic conditions are important to be considered.
I suggest you book an appointment with your family physician for a complete physical examination and some tests. In case no abnormality is found at the level of the urine, detailed tests to exclude any abnormalities with the urinary tract can be searched for. Abdominal ultrasound and intravenous urography (visualize urinary system tubes) could be asked later.
I suggest a urine culture and sensitivity test first. A complete blood count, measure of C reactive protein, erythrocyte sedimentation rate are important initial steps, after a good physical examination.
Feel free asking further questions in case of need. Wishing you good health. Kind regards.
Bain LE, MD

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
