My Father Is 75yoa, 15 Weeks Post-op From Triple By-pass

Posted on Sun, 30 Jun 2019

Question: My father is 75yoa, 15 weeks post-op from triple by-pass and CABG. He has done well. He had a urinalysis 2 days ago because his urine was a dark coffee brown. We can see the results now on his online medical chart and I am alarmed and concerned that we need to take him to the ER. He says he will wait until Monday and call for an appointment with his PC. Is time critical?

Bilirubin neg
Ketones trace
Glucose 3+
Protein 2+
Occult blood 3+
Leukocyte Esterase 1+
Color DK Yellow
appearance TURBID
RBC/HPF >60
WBC/HPF 6-10
Bacteria None seen

Answered by Dr. Dr. P. T. Patil (8 hours later)

Brief Answer:
He has acute UTI due to uncontrolled Diabetes

Detailed Answer:
Hello
Thanks for query .

Based on the facts and Urine report of your father that you have posted he has got acute UTI secondary to uncontrolled Diabetes .

Get his urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.

Start broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure he drinks more water to keep urine dilute This will help to control infection

Consult qualified Diabetologist to modify treatment to control diabetes which is very important to control infection

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

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