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Suggest Treatment For Enterococcal Infection

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Posted on Wed, 6 Jan 2016
Question: On 20th november i had given my urine for urine culture and doctor in singapore said i have got Enterococcus bacteria ans i was given nirofurantioin 100 mg.
doctor
Answered by Dr. Dr. BR Hudda (1 hour later)
Hello
please upload me a scan copy of reports so that I will be able to tell you more accurately
Best wishes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. BR Hudda (28 minutes later)
I have already taken Nitrofurantoin 100 mg twice a day from 24th november onwards for 10 days but there has been no improvement. Do you think this bacteria wont die with this medicine. Burning sensation is on going. Do i need some other medicine to cure this and how long it will take? Gove me good solution please.
doctor
Answered by Dr. Dr. BR Hudda (1 hour later)
Brief Answer:
You may require linezolid and take plenty of fluids

Detailed Answer:
Hello Mr XXXXXXX kapur
Thanks for the follow up question, I had gone through your reports and prescription very diligently and I really appreciate your concern

This bacteria is sensitive to nitrofurantoin and linezolid as per your culture and sensitivity report
If it didn't respond to nitrofurantoin than I would advise you to take linezolid after consulting your doctor.

I would also advise you to find out the underlying cause for this chronic urine infection which might be related to urogenital disorder like small stone or poor hygienic conditions
so get an ultrasound done and take plenty of fluids 3 to 5 liters a day
Maintain good hygiene, try to avoid sexual contact until you recover fully or use condom.

Hope this answers your question, please feel free to discuss further, I will be happy to help you
Best wishes

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dr. BR Hudda (7 hours later)
I will get my scan of kidney and urianary tract done. My recent urine culture does nit show any bacteria. So do i have stones thats why i have urge to urine and empty the bladder and buring sensarion. When i dont drink much water and urine is orange ans litre cloudy and there is a feeling like water rerention then burning is more pravalent. When i drink water for 3-4 days the symptoms disappear and comes back when i consume less water. Is it due to some kidney stones or disease. What can be the cause and how to deal with this? The doctors in singaproe have no idea and they seem very inexperienced so i have to reply on you to give me more professional approach.
doctor
Answered by Dr. Dr. BR Hudda (4 hours later)
Brief Answer:
you should take plenty of fluids and fruit juices

Detailed Answer:
Hello Mr XXXXXXX
welcome again, indeed it's my pleasure to be your doctor and I will try to help you out in best possible way.

You should drink plenty of fluids, make it a habit
there is very much possibility that concentrated urine may cause burning sensation and inflammation owing to less water intake.

since your recent urine culture hasn't shown any bacteria so it might not be related to infection so in my opinion if you take adequate fluids and fruits juices like lemon water and orange juice , your problem will automatically resolve.

If it persists or recurs than only you need to go for ultrasound abdomen.

Hope this answers your question, please fell free to discuss further, I will be happy to help you.
Best wishes

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Dr. BR Hudda (7 hours later)
Hellow Doctor,
many thanks for tour good advise, for last two days i have been consuming lots of water around 4-5 litres and symptoms seems to be decreasing, but not comoletely gone. There is some preseure in the abdomen and bladder area. Can you recommend any good doctor for scan of abdomen in new XXXXXXX also do you think if the bacteria would be causing problems of urge to urinate or burning sensation then why would it improve when i take lots of water and for two days it feels better.
doctor
Answered by Dr. Dr. BR Hudda (3 hours later)
Brief Answer:
Lots of fluids dilutes the urine and decreases the sensation

Detailed Answer:
Hello Mr XXXXXXX
Welcome again and thanks for your question
Continue having lots of fluids and make it a habit.
I would advise you to take anti acidity medicine like pantoprazole or ranitidine group of drugs with antacid
Heaviness in abdomen might be related to acidity as well.
Addition to that you should take urine alkalinising syrup like alkasol which will also help you in relieving burning sensation.

If it doesn't help much than only you need to go for ultrasound, for that you can go to any imaging center or consult your nearest doctor

Hope this answers your question
Best wishes
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 3004 Questions

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Suggest Treatment For Enterococcal Infection

Hello please upload me a scan copy of reports so that I will be able to tell you more accurately Best wishes