Brief Answer:
explained

Detailed Answer:
Hello and Welcome

I appreciate your concern.

The white stringy tissue could be due to

◦Drugs eg – Propofol
Medical conditions – Chyluria which is due to an infection in urinary pathway,
in filariasis (complicated stage),lymph flow abnormality will lead to white milky urine,
pyuria,
phosphate crystals,

work up to rule out urolithisis must be done , as hematuria too is present
an ultra sound to rule out any gall bladder pathology should also be done

Oral therapy with an empirically chosen antibiotic that is effective against gram-negative aerobic coliform bacteria (eg, Escherichia coli) is the principal treatment intervention in patients with cystitis. The first-choice agents for treatment of uncomplicated acute cystitis in women include the following:

•Nitrofurantoin monohydrate/macrocrystals


•Trimethoprim-sulfamethoxazole (TMP-SMX)


•Fosfomycin

The fact that you have not been able to clear the UTI also constitutes an indication to look for any anatomical abnormality or cause

Hospital admission may be indicated for some patients with complicated UTI. Complicating factors include the following:

•Structural abnormalities (eg, calculi, tract anomalies, indwelling catheter, obstruction)


•Metabolic disease (eg, diabetes, renal insufficiency)


•Impaired host defenses (eg, HIV infection, current chemotherapy, underlying active cancer)

Behavior modification, such as good oral fluid intake to enhance diuresis and frequent voiding (including post intercourse voiding) may be helpful in reducing recurrent infection Adequate fluid resuscitation restores effective circulating volume and generous urinary volumes. Antipyretic pain medications may be administered, as appropriate.

Cranberry juice extracts to increase alkalinity of urine, anti spasmodic like buscopan plus for symptomatic relief may also be used


Let me know if you have any query

wishing you best of health

Thanks

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