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Suggest Treatment For Severe UTI While On Glycomet, Thyronorm And Ofloxacin

Posted on Tue, 5 Jul 2016

Question: hi,
im 36 year old female.I had severe pain in my lower abdomen and I was diagnozed with positive widal test and Typhi dot e. Doctor giving me medicine for that since past 5 days. With that I had UTI diagnozed as well. There was burning sensation n urine which subsided once i started antibiotics. Now my ultrasound shows bladder inflammtion and some fluid in the tract i guess.
Im very worried. pls help.
im taking Ofloxin 500 BD, Kefstar 500 BD, thyronorm 100 mcg, Duloit 20 as im anxiety patient and Glycomet 1000 for insulin resistenace.
I also have fever since 3 weeks now. it shooted to 106 2 weeks back apart from that generally 99.4 or 99.6 F.

Answered by Dr. Dr. P. T. Patil (17 minutes later)

Brief Answer:
You seem to have UTI (Cystitis)

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have UTI (Cystitis) as revealed on ultrasound Scanning of abdomen .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Have you done urine culture ?

Please get your routine urine test and urine culture done to find out the organisms causing this infection so that you can take appropriate antibiotic as per culture report.

It takes three days to get the culture report till then continue taking Ofloxacin along with Ntrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water .To keep your urine dilute This will help to control dysuria.

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.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. P. T. Patil (7 minutes later)

ok, I had done the urine culture but that was normal probably that wasnt the first urine which I gave. Should I do it again? Are my kidneys ok? Kefstar 500 is also prescribed as Widaal test was positive so can I continue with that?
Also, i have constant fever so is this normal?

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Your kidneys are fine .

Detailed Answer:
Hello
Thanks for follow up .

In view of positive signs and urinary symptoms Though Widal Test is reported to be positive there is high possibility of it being false positive .

I would suggest you to repeat urine culture and take appropriate antibiotic as per culture report till then continue with Kefstar .

You may tale Paracetamol in addition to Kefstar .This will help to reduce the fever .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (38 hours later)

Thanks doctor,
Iam suffering from loose motions and vomitings. I went to my doctor and he prescribed metagyl 400. Now, Urine culture i gave sample today.Iam on so many antibiotics. is it safe for me?

Martifur 100 BD
Keftar 500 BD
Ofloxin BD
Metagyl 400 BD.

For how long should I take martifur 100? what is the duration of the course? will so many antibiotics cure me?

is indigestion and nausea common with any of these medicines?

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
You are lekely to have drug induced Gastritis.

Detailed Answer:
Hello
Thanks for follow up .The diarrhea and vomiting that you have could be due o drug induced gastroenteritis ,

You can stop taking Kefstar and take Ofloxacin and Metrogyl for five days .

Marfur can be taken for 4-6 weeks .

Thanks and Regards.
Dr.Patil.

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